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Individual

MICHELLE PHUONG THUY NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
7625 W LOWER BUCKEYE RD STE 105, PHOENIX, AZ 85043-0915
(623) 478-9959
(623) 907-1413
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
10317
TX
152W00000X
Optometrist
Primary
OPT-002760
AZ

Other

Enumeration date
09/30/2021
Last updated
02/23/2024
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