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1518425487
THAO T PHAM
TRACY, CA
NPI
1518425487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A20307)
Enumeration Date
2019-03-08
Last Update Date
2024-09-09
Business Address
THAO T PHAM
445 W EATON AVE
TRACY, CA 95376-3420
Phone number: 098-320-5352
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Mailing Address
THAO T PHAM
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 855-771-9335
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