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Individual

BAOANH CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6150 OAK TREE BLVD STE 200, INDEPENDENCE, OH 44131-2569
(954) 850-3444
Mailing address
PO BOX 821605, PEMBROKE PINES, FL 33082-1605

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9277780
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9277780
FL

Other

Enumeration date
04/21/2014
Last updated
09/27/2017
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