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1245705086
RYAN DUY PHAM
NEWPORT BEACH, CA
NPI
1245705086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56054)
Enumeration Date
2018-10-08
Last Update Date
2019-10-15
Business Address
RYAN DUY PHAM
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660-6505
Phone number: 949-760-9222
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Mailing Address
RYAN DUY PHAM
11744 SUMMERWOOD CT
FOUNTAIN VALLEY, CA 92708-2668
Phone number: 714-401-8579
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