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1316783202
JENNIFER PHUONG LY
POMONA, CA
NPI
1316783202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
JENNIFER PHUONG LY
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
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Mailing Address
JENNIFER PHUONG LY
309 E 2ND ST
POMONA, CA 91766-1854
Phone number:
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