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1003342981
VI T PHAM
PUEBLO, CO
NPI
1003342981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0004927)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- VI T PHAM PA-C
1080 CHINOOK LN
PUEBLO, CO 81001-1850
Phone number: 719-564-9400
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Mailing Address
-- VI T PHAM PA-C
1080 CHINOOK LN
PUEBLO, CO 81001-1850
Phone number: 719-564-9400
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