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1497994503
KY-VAN PHAM
PLANO, TX
NPI
1497994503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: TX 100651)
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- KY-VAN PHAM
1108 W PARKER RD STE 110
PLANO, TX 75075-2245
Phone number: 972-422-5223
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Mailing Address
-- KY-VAN PHAM
PO BOX 866124
PLANO, TX 75086-6124
Phone number: 972-422-5223
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