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Individual

ANH-TUAN HOANG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
260 MELISSA LN, BOSSIER CITY, LA 71112-8724
(318) 747-9111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1290-446T
LA

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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