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1043796402
JONATHAN FAN LU
ANAHEIM, CA
NPI
1043796402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA F06182381)
Enumeration Date
2018-07-18
Last Update Date
2020-03-30
Business Address
JONATHAN FAN LU FNP-C
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801-2806
Phone number: 714-772-8282
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Mailing Address
JONATHAN FAN LU FNP-C
PO BOX 15090
ANAHEIM, CA 92803-5090
Phone number: 714-772-8282
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