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1912395906
PHALLA OUK
STOCKTON, CA
NPI
1912395906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WI0500X Registered Nurse, Infusion Therapy
(Licence: CA 719534)
Enumeration Date
2014-12-29
Last Update Date
2014-12-29
Business Address
-- PHALLA OUK RN
2215 LYDIA BRADLEY ST
STOCKTON, CA 95206-6135
Phone number: 209-423-3952
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Mailing Address
-- PHALLA OUK RN
2215 LYDIA BRADLEY ST
STOCKTON, CA 95206-6135
Phone number: 209-423-3952
Copy
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