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1164415535
NGHIA THANH PHAN
POMONA, CA
NPI
1164415535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A10219)
Enumeration Date
2005-08-31
Last Update Date
2015-02-06
Business Address
Dr. NGHIA THANH PHAN D.O.
795 E 2ND ST STE 5
POMONA, CA 91766-2007
Phone number: 909-865-2565
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Mailing Address
Dr. NGHIA THANH PHAN D.O.
795 E 2ND ST STE 5
POMONA, CA 91766-2007
Phone number: 909-865-2565
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