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Individual
KY HONG DUONG
Active
Individual
KY HONG DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHP
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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