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1851022073
VICKY PHAM
GARDEN GROVE, CA
NPI
1851022073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95021273)
Enumeration Date
2022-06-20
Last Update Date
2022-08-19
Business Address
VICKY PHAM
12351 PENTAGON ST
GARDEN GROVE, CA 92841-3326
Phone number: 714-383-4670
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Mailing Address
VICKY PHAM
4152 KATELLA AVE STE 201
LOS ALAMITOS, CA 90720-6608
Phone number: 562-598-0600
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