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1972067106
YEN PHUONG THI VAN
ORANGE, CA
NPI
1972067106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT40827)
Enumeration Date
2019-01-22
Last Update Date
2023-12-14
Business Address
YEN PHUONG THI VAN LPT
265 S ANITA DR STE 102-104
ORANGE, CA 92868-3355
Phone number: 714-410-3500
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Mailing Address
YEN PHUONG THI VAN LPT
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 714-410-3500
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