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1104193226
THAO PHAM
QUEENS VILLAGE, NY
NPI
1104193226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 643221)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- THAO PHAM
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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Mailing Address
-- THAO PHAM
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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