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Individual

MONG VAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1798 MASSACHUSETTS AVE # A, CAMBRIDGE, MA 02140-2860
(857) 413-0591
Mailing address
91 WEBSTER ST, UNIT 1, BOSTON, MA 02128-2708
(857) 413-0591

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9123
FL

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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