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1285210781
DIEN KIM PHAM
SARASOTA, FL
NPI
1285210781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL Pta25863)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
DIEN KIM PHAM PTA
5640 RAND BLVD
SARASOTA, FL 34238-5174
Phone number: 941-917-4950
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Mailing Address
DIEN KIM PHAM PTA
3842 WILLOW WALK DR
PALMETTO, FL 34221-9041
Phone number:
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