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Dr. Ngoclan Thi Dinh

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ngoclan Thi Dinh
Gender: F
Provider License Number If Given: ME0052058

NPI Information:

NPI: 1205821782
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 4/18/2012

Provider Business Mailing Address:

Address: 4800 BELFORT RD
Jacksonville, FL 32256
Phone Number: 9043987205
Fax Number: 9042656409

Provider Business Practice Location Address:

Address: 3599 UNIVERSITY BLVD S SUITE 911
Jacksonville, FL 32216
Phone Number: 9043460330
Fax Number: 9043460450

Provider Taxonomy:

Primary: 207RG0100X
Secondary (if any):
State: FL

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