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1023616901
CAROLYN JESSICA CHAN
SAN MARCOS, CA
NPI
1023616901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT298690)
Enumeration Date
2020-10-13
Last Update Date
2020-10-14
Business Address
CAROLYN JESSICA CHAN DPT
2115 MONTIEL RD STE 103
SAN MARCOS, CA 92069-3587
Phone number: 760-839-2905
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Mailing Address
CAROLYN JESSICA CHAN DPT
3760 CONVOY ST STE 101
SAN DIEGO, CA 92111-3743
Phone number: 858-264-1434
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