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1790749653
DZUNG ANH PHAM
TUSTIN, CA
NPI
1790749653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A6269)
Enumeration Date
2006-04-17
Last Update Date
2020-11-23
Business Address
DZUNG ANH PHAM D.O.
2940 NAU AVE
TUSTIN, CA 92782-3377
Phone number: 949-654-8455
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Mailing Address
DZUNG ANH PHAM D.O.
2940 NAU AVE
TUSTIN, CA 92782-3377
Phone number: 949-654-8455
Copy
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