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1053937458
THAO PHUONG NGUYEN MAI
IRVINE, CA
NPI
1053937458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 50305)
Enumeration Date
2020-06-22
Last Update Date
2022-07-13
Business Address
THAO PHUONG NGUYEN MAI Pharm.D.
16300 SAND CANYON AVE STE 101
IRVINE, CA 92618-3704
Phone number: 949-453-9789
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Mailing Address
THAO PHUONG NGUYEN MAI Pharm.D.
18302 RAIN CIR
HUNTINGTON BEACH, CA 92648-1076
Phone number: 714-717-1894
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