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Individual

LOAN QUYNH TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
221 W TYRONE RD, OAK RIDGE, TN 37830-6500
(865) 483-6343
(865) 483-1185
Mailing address
221 W TYRONE RD, OAK RIDGE, TN 37830-6500
(865) 483-6343
(865) 483-1185

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47407
TN

Other

Enumeration date
06/03/2008
Last updated
07/12/2011
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