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1780063024
NGUYEN NGUYEN
COLTON, CA
NPI
1780063024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A14951)
Enumeration Date
2015-05-20
Last Update Date
2021-12-06
Business Address
NGUYEN NGUYEN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3366
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Mailing Address
NGUYEN NGUYEN
3875 AVOCADO BLVD
LA MESA, CA 91941-7303
Phone number: 800-290-5000
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