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1114752292
IA VANG
FRESNO, CA
NPI
1114752292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 53324)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
IA VANG
577 S PEACH AVE
FRESNO, CA 93727-3952
Phone number: 559-251-8463
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Mailing Address
IA VANG
159 N SHELLY AVE
FRESNO, CA 93727-3651
Phone number: 720-471-3090
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