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1093352007
PHUNG KIM PHAM
FAIRFAX, VA
NPI
1093352007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
PHUNG KIM PHAM
4400 UNIVERSITY DR
FAIRFAX, VA 22030-4422
Phone number: 703-993-1000
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Mailing Address
PHUNG KIM PHAM
4400 UNIVERSITY DR
FAIRFAX, VA 22030-4444
Phone number:
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