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1942477112
THIET VAN PHAN
SANTA ANA, CA
NPI
1942477112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Mr. THIET VAN PHAN MHS
1300 S GRAND AVE STE B
SANTA ANA, CA 92705-4434
Phone number: 714-834-6843
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Mailing Address
Mr. THIET VAN PHAN MHS
1300 S GRAND AVE STE B
SANTA ANA, CA 92705-4434
Phone number: 714-834-6843
Copy
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