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Individual
PA LOU VANG
Active
Individual
PA LOU VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110491
AK
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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