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1720601784
DOROTHY V PHAM
SPRINGFIELD, IL
NPI
1720601784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085007912)
Enumeration Date
2020-05-26
Last Update Date
2020-10-15
Business Address
DOROTHY V PHAM PA-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
DOROTHY V PHAM PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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