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Xiong Vang

NPI 1861123366 · on the registry since 2022

Practice

Address
3300 124th Ave Nw
Coon Rapids, MN 55433
Phone
(763) 354-1626
Organisation at this address
Grand St Paul Cvs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota