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1033539150
KEVIN HT PHAN
RANCHO CUCAMONGA, CA
NPI
1033539150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301501266)
Enumeration Date
2014-04-17
Last Update Date
2021-06-06
Business Address
KEVIN HT PHAN MD
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730-5157
Phone number: 909-912-1750
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Mailing Address
KEVIN HT PHAN MD
1801 ORANGE TREE LN STE 200
REDLANDS, CA 92374-4587
Phone number: 909-557-1600
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