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1932472669
THONGPHANH PHANTHAVADY
SACRAMENTO, CA
NPI
1932472669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A118769)
Enumeration Date
2012-02-10
Last Update Date
2022-02-04
Business Address
-- THONGPHANH PHANTHAVADY M.D.
7500 HOSPITAL DR
SACRAMENTO, CA 95823-5403
Phone number: 916-681-1900
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Mailing Address
-- THONGPHANH PHANTHAVADY M.D.
8946 LA RIVIERA DR
SACRAMENTO, CA 95826-2160
Phone number:
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