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1912466269
ANGIE NAM
PORTERVILLE, CA
NPI
1912466269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 56581)
Enumeration Date
2019-03-17
Last Update Date
2019-03-17
Business Address
ANGIE NAM
1107 W POPLAR AVE
PORTERVILLE, CA 93257-5839
Phone number: 877-960-3426
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Mailing Address
ANGIE NAM
187 FAIRGROUNDS DR
SACRAMENTO, CA 95817-2407
Phone number: 909-702-0083
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