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1679223200
PHONG PHAN
RIVERSIDE, CA
NPI
1679223200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-26
Last Update Date
2022-03-26
Business Address
PHONG PHAN DO
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-786-5350
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Mailing Address
PHONG PHAN DO
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number:
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