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Individual

LONG THANH NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 284-0555
Mailing address
8205 NW 52ND ST, GAINESVILLE, FL 32653-6153
(352) 284-0555

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
94237
FL

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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