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1629851043
WILLY THAI
SACRAMENTO, CA
NPI
1629851043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-17
Last Update Date
2023-10-10
Business Address
WILLY THAI
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 916-734-2145
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Mailing Address
WILLY THAI
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number:
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