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1598793507
VITUNE VONGTAMA
STOCKTON, CA
NPI
1598793507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA A29753)
Enumeration Date
2006-06-29
Last Update Date
2022-10-21
Business Address
VITUNE VONGTAMA MD
4722 QUAIL LAKES DR
STOCKTON, CA 95207-5244
Phone number: 209-472-1848
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Mailing Address
VITUNE VONGTAMA MD
3742 MERRIMAC CIRCLE
STOCKTON, CA 95219
Phone number: 209-473-8710
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