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Individual
MAI DUYEN NGO
Active
Individual
MAI DUYEN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N1881792638
NPI
TX
01
—
W112590872
AETNA INSURANCE
TX
Enumeration date
11/30/2020
Last updated
11/30/2020
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