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1215223136
TAM VAN DAO
FONTANA, CA
NPI
1215223136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301099098)
Enumeration Date
2011-06-20
Last Update Date
2021-10-22
Business Address
Dr. TAM VAN DAO M.D.
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5000
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Mailing Address
Dr. TAM VAN DAO M.D.
11660 CHURCH ST APT 381
RANCHO CUCAMONGA, CA 91730-8917
Phone number: 623-565-3041
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