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1841457033
THANG VAN PHAM
COLTON, CA
NPI
1841457033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 24278)
Enumeration Date
2008-05-16
Last Update Date
2008-05-16
Business Address
-- THANG VAN PHAM
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
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Mailing Address
-- THANG VAN PHAM
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
Copy
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