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1457332504
JOHNNY-AN THANH PHAM
LOS ANGELES, CA
NPI
1457332504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13536)
Enumeration Date
2005-11-07
Last Update Date
2013-02-05
Business Address
Mr. JOHNNY-AN THANH PHAM PA C
1101 N VERMONT AVE
LOS ANGELES, CA 90029
Phone number: 323-665-4230
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Mailing Address
Mr. JOHNNY-AN THANH PHAM PA C
5443 E LANAI STREET
LONG BEACH, CA 90808
Phone number: 310-503-1602
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