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1831615442
THAO THI PHUONG GIANG
ELK GROVE, CA
NPI
1831615442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007140)
Enumeration Date
2017-08-15
Last Update Date
2019-11-04
Business Address
THAO THI PHUONG GIANG FNP-C
4810 ELK GROVE BLVD
ELK GROVE, CA 95758-4186
Phone number: 800-972-5547
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Mailing Address
THAO THI PHUONG GIANG FNP-C
11611 VICILIA ST
GARDEN GROVE, CA 92841-1945
Phone number: 714-360-5751
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