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1629707187
TRUC THANH PHAM
SAINT PAUL, MN
NPI
1629707187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: MN DY148)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
TRUC THANH PHAM RDH, DT
895 7TH ST E
SAINT PAUL, MN 55106-3871
Phone number: 651-602-7500
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Mailing Address
TRUC THANH PHAM RDH, DT
1005 GRAMSIE RD APT 307
SHOREVIEW, MN 55126-3126
Phone number: 651-206-4072
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