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1104644467
TINY PHAN
AMARILLO, TX
NPI
1104644467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
TINY PHAN
2021 EVERGREEN ST
AMARILLO, TX 79107-7551
Phone number: 806-236-2321
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Mailing Address
TINY PHAN
2021 EVERGREEN ST
AMARILLO, TX 79107-7551
Phone number: 806-236-2321
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