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1902397045
DOUANGCHAY JUDY PHANGRATH
RIVERSIDE, CA
NPI
1902397045
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Other Name
JUDY PHANGRATH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009072)
Enumeration Date
2018-05-24
Last Update Date
2021-06-11
Business Address
DOUANGCHAY JUDY PHANGRATH FNP
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501-4332
Phone number: 559-285-5946
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Mailing Address
DOUANGCHAY JUDY PHANGRATH FNP
7197 W SCOTT AVE
FRESNO, CA 93723-9397
Phone number:
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