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1306416458
KEVIN PHUNG
SEAL BEACH, CA
NPI
1306416458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 300400)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
KEVIN PHUNG
12501 SEAL BEACH BLVD STE 210
SEAL BEACH, CA 90740-2755
Phone number: 562-493-8800
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Mailing Address
KEVIN PHUNG
11262 ELKWOOD ST
SUN VALLEY, CA 91352-4437
Phone number: 818-471-3358
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