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1831395102
LIZA MARIE PATAWARAN PHAM
MODESTO, CA
NPI
1831395102
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Other Name
LIZA MARIE PATAWARAN YLESCUPIDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A100406)
Enumeration Date
2007-06-25
Last Update Date
2022-01-11
Business Address
LIZA MARIE PATAWARAN PHAM MD
1114 6TH ST
MODESTO, CA 95354-2203
Phone number: 209-576-2845
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Mailing Address
LIZA MARIE PATAWARAN PHAM MD
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848
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