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1114371887
KIM OANH PHAM
VALRICO, FL
NPI
1114371887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 26602)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- KIM OANH PHAM PTA
3248 LITHIA PINECREST RD STE 102
VALRICO, FL 33596-5682
Phone number: 813-622-1366
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Mailing Address
-- KIM OANH PHAM PTA
16103 STAGS LEAP DR
LUTZ, FL 33559-2003
Phone number: 813-325-9562
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