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1164984613
KEN VINH PHAM
NEWPORT BEACH, CA
NPI
1164984613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT296455)
Enumeration Date
2019-04-03
Last Update Date
2020-06-23
Business Address
KEN VINH PHAM DPT
3300 IRVINE AVE STE 130
NEWPORT BEACH, CA 92660-3119
Phone number: 949-271-0053
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Mailing Address
KEN VINH PHAM DPT
3230 E IMPERIAL HWY STE 100
BREA, CA 92821-6735
Phone number: 714-256-5074
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