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1356193742
LONG BA PHAM
LONG BEACH, CA
NPI
1356193742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 996869)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
LONG BA PHAM
5261 E THE TOLEDO APT 5
LONG BEACH, CA 90803-1858
Phone number: 408-314-1120
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Mailing Address
LONG BA PHAM
5261 E THE TOLEDO APT 5
LONG BEACH, CA 90803-1858
Phone number: 408-314-1120
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