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1639142219
CHRISTIAN PHAM
JONESBORO, GA
NPI
1639142219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 003450)
Enumeration Date
2006-02-13
Last Update Date
2007-07-09
Business Address
-- CHRISTIAN PHAM
405 ARROWHEAD BLVD SUITE C
JONESBORO, GA 30236-1254
Phone number: 770-478-9877
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Mailing Address
-- CHRISTIAN PHAM
3353 WEMBLEY WALK
TUCKER, GA 30084-2232
Phone number: 770-493-9252
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