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1285247049
THANH TRUNG PHAM
SAN BERNARDINO, CA
NPI
1285247049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA59381)
Enumeration Date
2020-08-30
Last Update Date
2022-08-16
Business Address
THANH TRUNG PHAM
590 N SIERRA WAY
SAN BERNARDINO, CA 92410-4817
Phone number: 909-495-3595
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Mailing Address
THANH TRUNG PHAM
590 N SIERRA WAY
SAN BERNARDINO, CA 92410-4817
Phone number: 909-495-3595
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