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1750443594
BOPHAL PHEN
SAN JOSE, CA
NPI
1750443594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 29401)
Enumeration Date
2006-12-15
Last Update Date
2023-02-08
Business Address
Mr. BOPHAL PHEN
160 E VIRGINIA ST #280
SAN JOSE, CA 95112
Phone number: 408-287-6200
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Mailing Address
Mr. BOPHAL PHEN
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2137
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