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1043639222
TONY CHAN
OAKLAND, CA
NPI
1043639222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 1043639222)
Enumeration Date
2014-04-15
Last Update Date
2018-11-17
Business Address
TONY CHAN
2940 SUMMIT ST
OAKLAND, CA 94609-3416
Phone number: 510-519-6429
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Mailing Address
TONY CHAN
1250 FAIRMONT DR STE A
SAN LEANDRO, CA 94578-3547
Phone number: 510-519-6429
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