Individual
PHUONG TU-NGUYEN DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4929
Mailing address
712 AZALEA PL, YUKON, OK 73099-6547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11939
OK
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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