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1396893384
LOAN TRUNG PHAM
FONTANA, CA
NPI
1396893384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A93554)
Enumeration Date
2007-01-08
Last Update Date
2021-12-06
Business Address
LOAN TRUNG PHAM MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
LOAN TRUNG PHAM MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Copy
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