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1255061842
CHARLES VAN PHAM
PLYMOUTH, MI
NPI
1255061842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
242T00000X Perfusionist
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
CHARLES VAN PHAM
45211 HELM ST STE 110
PLYMOUTH, MI 48170-6023
Phone number: 173-452-5971
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Mailing Address
CHARLES VAN PHAM
45211 HELM ST STE 110
PLYMOUTH, MI 48170-6023
Phone number: 173-452-5971
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