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1912645102
ANN THUAN THE MONG
GARDENA, CA
NPI
1912645102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT302047)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
ANN THUAN THE MONG DPT
16630 S BROADWAY
GARDENA, CA 90248-2716
Phone number: 310-768-8155
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Mailing Address
ANN THUAN THE MONG DPT
9122 PLAYA DR
HUNTINGTON BEACH, CA 92646-8317
Phone number: 714-204-5268
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