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1376900431
GIBSON PHAM
COSTA MESA, CA
NPI
1376900431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 95619)
Enumeration Date
2016-01-20
Last Update Date
2024-01-02
Business Address
GIBSON PHAM
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-574-3367
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Mailing Address
GIBSON PHAM
PO BOX 15542
ANAHEIM, CA 92803-5542
Phone number: 714-414-7210
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