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1104337054
BRIAN DAM
FULLERTON, CA
NPI
1104337054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54999)
Enumeration Date
2017-10-18
Last Update Date
2022-01-01
Business Address
BRIAN DAM PHYSICIAN ASSISTANT
2720 N HARBOR BLVD STE 210
FULLERTON, CA 92835-2626
Phone number: 714-446-5192
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Mailing Address
BRIAN DAM PHYSICIAN ASSISTANT
PO BOX 5099
ORANGE, CA 92863-5099
Phone number:
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