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1295061166
KATHY PHAM
HAWTHORNE, CA
NPI
1295061166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 24691)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
-- KATHY PHAM
13450 HAWTHORNE BLVD
HAWTHORNE, CA 90250-5806
Phone number: 310-679-0106
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Mailing Address
-- KATHY PHAM
13450 HAWTHORNE BLVD
HAWTHORNE, CA 90250-5806
Phone number: 310-679-0106
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