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Individual

BICHLE THI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7401
Mailing address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7401

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102205386
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102205386
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
04/18/2017
Last updated
11/24/2025
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