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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1326447012 |
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| LBN Legal business name | HEALTONES MEDICAL CLINIC | ||||
| Authorized official | HUNG VU - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/19/2014 | ||||
| Last updated | 06/16/2018 - About 8 years ago | ||||
| Identifiers |
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HEALTONES MEDICAL CLINIC
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