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1851012843
KENNY PHAM
DALLAS, TX
NPI
1851012843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: 86370785)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
KENNY PHAM
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-6287
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Mailing Address
KENNY PHAM
1414 BELLINGHAM LN
GARLAND, TX 75044-3227
Phone number: 713-505-6265
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