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1033601877
JIMMY NGUYEN
ANAHEIM, CA
NPI
1033601877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA49308)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
JIMMY NGUYEN PTA
215 N STATE COLLEGE BLVD
ANAHEIM, CA 92806-2913
Phone number: 714-999-6596
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Mailing Address
JIMMY NGUYEN PTA
14951 HOPE ST
WESTMINSTER, CA 92683-5835
Phone number: 714-396-0816
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