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1861456972
TUYET BACH PHAN
REDONDO BEACH, CA
NPI
1861456972
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Other Name
SNOW PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
Ms. TUYET BACH PHAN A.T.C.
2400 CARNEGIE LN #2
REDONDO BEACH, CA 90278-3811
Phone number: 310-377-1543
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Mailing Address
Ms. TUYET BACH PHAN A.T.C.
2400 CARNEGIE LN
REDONDO BEACH, CA 90278-3811
Phone number: 310-377-1543
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