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1104159201
CHAN LE NGUYEN MD INC
FOUNTAIN VALLEY, CA
NPI
1104159201
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Entity Type
Organization
Authorized Contact
CHAN NGUYEN
President
714-604-9601
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA A100830)
Enumeration Date
2009-09-09
Last Update Date
2009-09-09
Business Address
CHAN LE NGUYEN MD INC
16027 BROOKHURST ST STE G-171
FOUNTAIN VALLEY, CA 92708-1551
Phone number: 714-604-9601
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Mailing Address
CHAN LE NGUYEN MD INC
16027 BROOKHURST ST STE G-171
FOUNTAIN VALLEY, CA 92708-1551
Phone number: 714-604-9601
Copy
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