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1851799050
THYVAN NGUYEN IKARI
ANAHEIM, CA
NPI
1851799050
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Former Name
THYVAN NGUYEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 52205)
Enumeration Date
2014-12-21
Last Update Date
2018-11-02
Business Address
THYVAN NGUYEN IKARI P.A.-C
631 S BROOKHURST ST SUITE 101
ANAHEIM, CA 92804-3510
Phone number: 714-991-5700
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Mailing Address
THYVAN NGUYEN IKARI P.A.-C
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804-3563
Phone number: 714-991-5700
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