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1790426781
VAN THANH LY
SAN JOSE, CA
NPI
1790426781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95020564)
Enumeration Date
2022-04-05
Last Update Date
2022-09-06
Business Address
VAN THANH LY FNP-C
200 JOSE FIGUERES AVE STE 180
SAN JOSE, CA 95116-1586
Phone number: 408-876-0836
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Mailing Address
VAN THANH LY FNP-C
8721 CHURCH ST
GILROY, CA 95020-4233
Phone number: 408-876-0836
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