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1952704355
HUONG LAN PHAM
FORT WORTH, TX
NPI
1952704355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09366)
Enumeration Date
2014-09-30
Last Update Date
2016-05-31
Business Address
Miss HUONG LAN PHAM PA-C
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-0349
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Mailing Address
Miss HUONG LAN PHAM PA-C
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-0349
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