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1831893569
LE THANH LAC
ROSEVILLE, CA
NPI
1831893569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
LE THANH LAC DO
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-781-1000
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Mailing Address
LE THANH LAC DO
4859 BETTY MAE DR
STOCKTON, CA 95212-3042
Phone number:
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