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1679928220
THONG PHAN
SHORELINE, WA
NPI
1679928220
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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
2016-05-02
Last Update Date
2016-05-02
Business Address
-- THONG PHAN
1209 NE 158TH ST
SHORELINE, WA 98155-6339
Phone number: 206-356-7963
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Mailing Address
-- THONG PHAN
1209 NE 158TH ST
SHORELINE, WA 98155-6339
Phone number: 206-356-7963
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