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1750855300
PHONG TUAN DAM
PORT ANGELES, WA
NPI
1750855300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX AP138415)
Enumeration Date
2019-01-16
Last Update Date
2024-10-12
Business Address
Mr. PHONG TUAN DAM NP
939 CAROLINE ST
PORT ANGELES, WA 98362-3997
Phone number: 360-417-7000
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Mailing Address
Mr. PHONG TUAN DAM NP
1726 LEILANI DR
HOUSTON, TX 77055-1064
Phone number: 323-509-8817
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