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1154188738
PHILLIP NGUYEN PHUNG
SIMI VALLEY, CA
NPI
1154188738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029241)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
PHILLIP NGUYEN PHUNG FNP
5885 INDIAN POINTE DR
SIMI VALLEY, CA 93063-5764
Phone number: 805-300-4521
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Mailing Address
PHILLIP NGUYEN PHUNG FNP
5885 INDIAN POINTE DR
SIMI VALLEY, CA 93063-5764
Phone number: 805-300-4521
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