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1316783202
JENNIFER PHUONG LY
NEWPORT BEACH, CA
NPI
1316783202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 65064)
Enumeration Date
2024-07-01
Last Update Date
2024-10-01
Business Address
JENNIFER PHUONG LY
1000 BRISTOL ST N STE 1B
NEWPORT BEACH, CA 92660-8940
Phone number: 949-284-2813
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Mailing Address
JENNIFER PHUONG LY
1000 BRISTOL ST N STE 1B
NEWPORT BEACH, CA 92660-8940
Phone number:
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