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1245434083
DAN VONGTAMA
STOCKTON, CA
NPI
1245434083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA A109003)
Enumeration Date
2007-06-14
Last Update Date
2022-10-21
Business Address
DAN VONGTAMA M.D.
4722 QUAIL LAKES DR
STOCKTON, CA 95207-5256
Phone number: 209-472-1848
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Mailing Address
DAN VONGTAMA M.D.
4722 QUAIL LAKES DR
STOCKTON, CA 95207-5256
Phone number:
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