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1245466176
PHONG QUOC BANH
SAN FRANCISCO, CA
NPI
1245466176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
Mr. PHONG QUOC BANH
2020 HAYES ST
SAN FRANCISCO, CA 94117-1128
Phone number: 415-750-5125
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Mailing Address
Mr. PHONG QUOC BANH
2020 HAYES ST
SAN FRANCISCO, CA 94117-1128
Phone number: 415-750-5125
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