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Individual
KIM NGUYEN N PHAM
Active
Individual
KIM NGUYEN N PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMD, LA.C
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6249
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AC6249
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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