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1992583587
PHUONG TATYANA MINH LIEN
GARDEN GROVE, CA
NPI
1992583587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA 27081)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
PHUONG TATYANA MINH LIEN
12062 VALLEY VIEW ST STE 220
GARDEN GROVE, CA 92845-1739
Phone number: 562-356-8600
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Mailing Address
PHUONG TATYANA MINH LIEN
1620 E PLYMOUTH ST
LONG BEACH, CA 90805-6225
Phone number: 562-276-5437
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