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1427416841
VIVIEN T THACH
FULLERTON, CA
NPI
1427416841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95003756)
Enumeration Date
2016-01-29
Last Update Date
2022-02-01
Business Address
VIVIEN T THACH AGNP-C
501 S BROOKHURST RD
FULLERTON, CA 92833-3207
Phone number: 714-870-0717
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Mailing Address
VIVIEN T THACH AGNP-C
9402 RUSSELL AVE
GARDEN GROVE, CA 92844-2327
Phone number:
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