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1619113503
THAO MINH PHAN
COSTA MESA, CA
NPI
1619113503
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Former Name
THAO MINH NGUYEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A101844)
Enumeration Date
2008-12-23
Last Update Date
2019-01-10
Business Address
THAO MINH PHAN M.D.
1170 BAKER ST STE H1
COSTA MESA, CA 92626
Phone number: 949-791-3250
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Mailing Address
THAO MINH PHAN M.D.
1170 BAKER ST STE H1
COSTA MESA, CA 92626-4165
Phone number: 949-791-3250
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