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Individual

KHANH VAN K DUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1341 S POWERLINE RD, POMPANO BEACH, FL 33069-4313
(954) 979-9979
(954) 979-9545
Mailing address
1341 S POWERLINE RD, POMPANO BEACH, FL 33069-4313
(954) 979-9979

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME109454
FL
208D00000X
General Practice Physician
Primary
ME109454
FL

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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