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1255702676
TEDMAN VUONG
POMONA, CA
NPI
1255702676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95003272)
Enumeration Date
2015-10-12
Last Update Date
2015-10-26
Business Address
-- TEDMAN VUONG
260 E HOLT AVE
POMONA, CA 91767-5426
Phone number: 909-629-8088
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Mailing Address
-- TEDMAN VUONG
260 E HOLT AVE
POMONA, CA 91767-5426
Phone number:
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