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Individual
NATHAN PHAM
Active
Individual
NATHAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58864
FL
207Q00000X
Family Medicine Physician
BP10037842
TX
Other
Enumeration date
05/12/2010
Last updated
09/04/2020
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