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Individual
JULIE THAO THANH PHAM
Active
Individual
JULIE THAO THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11623
CA
207Q00000X
Family Medicine Physician
Primary
20A11632
CA
Other
Enumeration date
07/20/2011
Last updated
04/27/2016
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