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1710629423
PHUNG PHAM
ROSEVILLE, CA
NPI
1710629423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-12
Last Update Date
2022-04-22
Business Address
Miss PHUNG PHAM
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
Miss PHUNG PHAM
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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