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Individual
DR. THIEN KIM NGUYEN VUONG
Active
Individual
DR. THIEN KIM NGUYEN VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
003273
GA
152W00000X
Optometrist
Primary
15154
CA
152W00000X
Optometrist
1826
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1826
AZ STATE BOARD OF OPTOMETRY
AZ
Enumeration date
02/21/2012
Last updated
09/27/2020
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