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Individual

KHANH PHUONG BUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3217 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4419
(314) 329-6873
Mailing address
3217 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4419
(314) 329-6873

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MO

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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