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1942879515
BAO PHUC NGUYEN
CHINO, CA
NPI
1942879515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 300348)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
BAO PHUC NGUYEN
4541 PHILADELPHIA ST STE C103
CHINO, CA 91710-2250
Phone number: 909-590-7997
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Mailing Address
BAO PHUC NGUYEN
5252 LAUREL ST
SAN DIEGO, CA 92105-4913
Phone number: 619-632-2476
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