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1639465446
DIEM PHUC THUC BANH
MORENO VALLEY, CA
NPI
1639465446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0102204489)
Enumeration Date
2011-06-21
Last Update Date
2021-12-22
Business Address
Dr. DIEM PHUC THUC BANH D.O.
26520 CACTUS AVE GME OFFICE ROOM A1005
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5908
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Mailing Address
Dr. DIEM PHUC THUC BANH D.O.
26520 CACTUS AVE GME OFFICE ROOM A1005
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5908
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