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1043934706
KIM PHAN
IRVINE, CA
NPI
1043934706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
KIM PHAN PA-C
4980 BARRANCA PKWY STE 202
IRVINE, CA 92604-8653
Phone number: 949-733-1336
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Mailing Address
KIM PHAN PA-C
3725 S WOODLAND PL
SANTA ANA, CA 92707-4737
Phone number: 714-791-1250
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