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1700112968
MICHELLE MAI PHUNG
FOUNTAIN VALLEY, CA
NPI
1700112968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 50737)
Enumeration Date
2009-10-22
Last Update Date
2011-08-11
Business Address
Ms. MICHELLE MAI PHUNG
10101 SLATER AVE STE 241
FOUNTAIN VALLEY, CA 92708-4723
Phone number: 714-378-2620
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Mailing Address
Ms. MICHELLE MAI PHUNG
2240 W LINCOLN AVE APT 103
ANAHEIM, CA 92801-6529
Phone number: 469-569-3788
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