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Individual
NGOC MINH PHAM
Active
Individual
NGOC MINH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1573
OK
363A00000X
Physician Assistant
PA18067
CA
Other
Enumeration date
11/17/2006
Last updated
07/24/2012
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