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Individual

MINH-TRIET DINH VO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1513
(253) 984-2000
(253) 984-2049
Mailing address
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1513
(253) 984-2000
(253) 984-2049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60674558
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DOL.OL.60379137
DEPARTMENT OF HEALTH
WA
Enumeration date
06/26/2013
Last updated
12/23/2016
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