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1427456615
TRUNG TAN PHAM
ELK GROVE, CA
NPI
1427456615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT26845)
Enumeration Date
2014-12-20
Last Update Date
2014-12-20
Business Address
-- TRUNG TAN PHAM
8257 HOPEWELL DR
ELK GROVE, CA 95757-6287
Phone number: 916-686-6802
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Mailing Address
-- TRUNG TAN PHAM
8257 HOPEWELL DR
ELK GROVE, CA 95757-6287
Phone number: 916-686-6802
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