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1770583056
STACEY CAM TIEN
ORANGE, CA
NPI
1770583056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA PA16952)
Enumeration Date
2005-07-28
Last Update Date
2019-06-06
Business Address
STACEY CAM TIEN P.A. - C
1140 W LA VETA AVE STE. 850
ORANGE, CA 92868-4225
Phone number: 714-560-4450
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Mailing Address
STACEY CAM TIEN P.A. - C
1140 W LA VETA AVE STE 850
ORANGE, CA 92868-4218
Phone number: 714-560-4450
Copy
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