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1437569175
BRIAN VAN NGUYEN
WOODLAND, CA
NPI
1437569175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 20A15509)
Enumeration Date
2014-05-03
Last Update Date
2022-07-21
Business Address
BRIAN VAN NGUYEN DO
632 W GIBSON RD
WOODLAND, CA 95695-5169
Phone number: 530-668-2600
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Mailing Address
BRIAN VAN NGUYEN DO
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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