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1316001373
PHUONG NICOLE TA
ALISO VIEJO, CA
NPI
1316001373
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Professional Name
PHUONG MINH TA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G79560)
Enumeration Date
2006-12-21
Last Update Date
2021-12-23
Business Address
Dr. PHUONG NICOLE TA m.d.
26671 ALISO CREEK RD STE 304
ALISO VIEJO, CA 92656-4808
Phone number: 949-389-9409
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Mailing Address
Dr. PHUONG NICOLE TA m.d.
26671 ALISO CREEK RD STE 304
ALISO VIEJO, CA 92656-4808
Phone number: 949-389-9409
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