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1649486473
STACEY PHUONG CHAU
SAN JOSE, CA
NPI
1649486473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 00952078)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- STACEY PHUONG CHAU M.S, RD
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number: 408-972-7240
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Mailing Address
-- STACEY PHUONG CHAU M.S, RD
4759 MOUNTAIRE PL
SAN JOSE, CA 95138-2715
Phone number: 408-603-3730
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