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1598077869
PHUC SON SI DONG
ROSEVILLE, CA
NPI
1598077869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A12891)
Enumeration Date
2010-07-02
Last Update Date
2024-02-14
Business Address
Dr. PHUC SON SI DONG DO
3980 DOUGLAS BLVD STE 110
ROSEVILLE, CA 95661-4263
Phone number: 916-293-4400
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Mailing Address
Dr. PHUC SON SI DONG DO
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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