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1083242077
KIM THANH NGUYEN-TA
LA JOLLA, CA
NPI
1083242077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
KIM THANH NGUYEN-TA MD, MS, MPH
9300 CAMPUS POINT DR # MC7220
LA JOLLA, CA 92037-1300
Phone number: 858-657-7025
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Mailing Address
KIM THANH NGUYEN-TA MD, MS, MPH
10038 KNIGHT DR
SAN DIEGO, CA 92126-3581
Phone number: 858-876-5430
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