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1902822265
PHONG THANH DAO
SAN DIEGO, CA
NPI
1902822265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A9502)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- PHONG THANH DAO D.O.
9225 MIRA MESA BLVD SUITE 206
SAN DIEGO, CA 92126-4820
Phone number: 858-831-1567
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Mailing Address
-- PHONG THANH DAO D.O.
11410 BELSHIRE LN
SAN DIEGO, CA 92126-5553
Phone number:
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