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Individual

SOUA VANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1358 7TH ST E, SAINT PAUL, MN 55106-4104
(651) 778-0562
Mailing address
1358 7TH ST E, SAINT PAUL, MN 55106-4104
(651) 778-0562

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2475771
MN

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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