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1578928321
THANHTRUC HOANG PHAN
LA MESA, CA
NPI
1578928321
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Other Name
TRUC PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003338)
Enumeration Date
2015-12-22
Last Update Date
2018-01-05
Business Address
THANHTRUC HOANG PHAN FNP-C
5525 GROSSMONT CENTER DR
LA MESA, CA 91942-3009
Phone number: 858-499-2711
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Mailing Address
THANHTRUC HOANG PHAN FNP-C
5525 GROSSMONT CENTER DR
LA MESA, CA 91942-3009
Phone number: 858-499-2711
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