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1235976184
VIVIAN VAN PHUNG
LONG BEACH, CA
NPI
1235976184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
VIVIAN VAN PHUNG OD
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 714-273-4885
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Mailing Address
VIVIAN VAN PHUNG OD
2105 W CHERRY DR
ORANGE, CA 92868-1928
Phone number: 714-273-4885
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