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Individual

HAI TRI NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4422 N PERSHING AVE STE D7, 4422 N PERSHING AVE STE D2, STOCKTON, CA 95207-6967
(209) 475-9454
Mailing address
4422 N PERSHING AVE STE D7, STOCKTON, CA 95207-6967
(209) 475-9454

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/27/2018
Last updated
04/27/2018
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