VUONG-LAM PHAM

JACKSON, MS
NPI1518351626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MS  T-2999)
Enumeration Date2015-03-26
Last Update Date2015-09-10
Business Address
-- VUONG-LAM PHAM
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1292
Mailing Address
-- VUONG-LAM PHAM
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1292
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