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1013108794
HUY PHAN
FONTANA, CA
NPI
1013108794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A99726)
Enumeration Date
2007-08-07
Last Update Date
2012-11-05
Business Address
-- HUY PHAN
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5000
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Mailing Address
-- HUY PHAN
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number:
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