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1033262787
LAN PHAN VU
DALLAS, TX
NPI
1033262787
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Former Name
LAN KIM PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA01782)
Enumeration Date
2007-01-18
Last Update Date
2013-03-21
Business Address
-- LAN PHAN VU PA-C
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-4673
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Mailing Address
-- LAN PHAN VU PA-C
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-4673
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