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Individual
KA BAO VANG
Active
Individual
KA BAO VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013030808
—
CA
Enumeration date
03/13/2015
Last updated
03/13/2015
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