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1962986042
LONG PHAM
EASTVALE, CA
NPI
1962986042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: CA 29433)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
LONG PHAM
7175 ENCLAVE DR
EASTVALE, CA 92880-3828
Phone number: 318-791-9853
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Mailing Address
LONG PHAM
7175 ENCLAVE DR
EASTVALE, CA 92880-3828
Phone number: 318-791-9853
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