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1538194113
TIEN TRONG VU
STOCKTON, CA
NPI
1538194113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA A34944)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
TIEN TRONG VU M.D.
4502 N PERSHING AVE
STOCKTON, CA 95207-6738
Phone number: 209-957-6438
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Mailing Address
TIEN TRONG VU M.D.
4502 N PERSHING AVE
STOCKTON, CA 95207-6738
Phone number: 209-957-6438
Copy
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