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Individual

TONG VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
1164 WHITE BEAR AVE N, SAINT PAUL, MN 55106-3004
(651) 890-2529
(651) 890-2529
Mailing address
1164 WHITE BEAR AVE N, SAINT PAUL, MN 55106-3004
(651) 890-2529
(651) 890-2529

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MN

Other

Enumeration date
07/01/2020
Last updated
07/01/2020
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