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1700200664
PHUONG DAOLE PHAM
SAN DIEGO, CA
NPI
1700200664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA NP95019215)
Enumeration Date
2014-02-13
Last Update Date
2022-01-12
Business Address
PHUONG DAOLE PHAM PMHNP
11770 BERNARDO PLAZA CT STE 370
SAN DIEGO, CA 92128-2426
Phone number: 858-673-3360
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Mailing Address
PHUONG DAOLE PHAM PMHNP
PO BOX 609001
SAN DIEGO, CA 92160-9001
Phone number: 619-528-4600
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