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1114869641
KEVIN PHAM NGUYEN
PORTERVILLE, CA
NPI
1114869641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2026-04-06
Last Update Date
2026-04-06
Business Address
KEVIN PHAM NGUYEN DO
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-748-1110
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Mailing Address
KEVIN PHAM NGUYEN DO
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-748-1110
Copy
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