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1376009480
QUY PHAM
CERRITOS, CA
NPI
1376009480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA NP95016206)
Enumeration Date
2019-02-13
Last Update Date
2021-01-25
Business Address
QUY PHAM PMHNP
17707 STUDEBAKER RD
CERRITOS, CA 90703-2640
Phone number: 562-402-0688
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Mailing Address
QUY PHAM PMHNP
17707 STUDEBAKER RD
CERRITOS, CA 90703-2640
Phone number: 562-402-0688
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