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Individual

DR. GEMIE N PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
17099 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3601
(714) 968-4269
(714) 968-5352
Mailing address
11872 GARNET CIR, GARDEN GROVE, CA 92845-1210
(714) 856-4592

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13553
CA

Other

Enumeration date
12/04/2008
Last updated
08/31/2012
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