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1295355410
AVIAN PHAM
FLUSHING, NY
NPI
1295355410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
AVIAN PHAM MD
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 703-949-8279
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Mailing Address
AVIAN PHAM MD
120 BYRON AVE
HARRISBURG, PA 17109-3101
Phone number: 703-949-8279
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