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1972175172
VIET DAM
ORANGE, CA
NPI
1972175172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
VIET DAM
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
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Mailing Address
VIET DAM
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
Copy
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