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1003686155
THAIBINH PAUL LAI-NGUYEN
MODESTO, CA
NPI
1003686155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64185)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2024-01-08
Last Update Date
2024-05-03
Business Address
THAIBINH PAUL LAI-NGUYEN PA-C
1441 FLORIDA AVE
MODESTO, CA 95350-4418
Phone number: 209-578-1211
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Mailing Address
THAIBINH PAUL LAI-NGUYEN PA-C
1441 FLORIDA AVE
MODESTO, CA 95350-4418
Phone number: 209-578-1211
Copy
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