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1609128693
PHUONG NGUYEN TANG
PASADENA, CA
NPI
1609128693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22588)
Enumeration Date
2012-10-15
Last Update Date
2019-08-13
Business Address
PHUONG NGUYEN TANG PA
630 S RAYMOND AVE UNIT 240
PASADENA, CA 91105-3283
Phone number: 626-449-9920
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Mailing Address
PHUONG NGUYEN TANG PA
630 S RAYMOND AVE UNIT 240
PASADENA, CA 91105-3283
Phone number: 626-449-9920
Copy
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