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Individual

DR. JACOB LY DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-6126
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-6126

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS 11893
FL
207Q00000X
Family Medicine Physician
OS 11893
FL
2083A0100X
Aerospace Medicine Physician
Primary
OS11893
FL

Other

Enumeration date
03/08/2007
Last updated
05/18/2022
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