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1972998094
THANH THI PHUONG NGUYEN
FOUNTAIN VALLEY, CA
NPI
1972998094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95001916)
Enumeration Date
2015-04-06
Last Update Date
2017-10-26
Business Address
THANH THI PHUONG NGUYEN FNP
16543 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-2343
Phone number: 714-418-9749
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Mailing Address
THANH THI PHUONG NGUYEN FNP
18225 BROOKHURST ST STE 5
FOUNTAIN VALLEY, CA 92708-6719
Phone number: 714-418-9749
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