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1073170312
ETHAN MIN CHEN
FONTANA, CA
NPI
1073170312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A179722)
Enumeration Date
2019-05-22
Last Update Date
2022-11-21
Business Address
Dr. ETHAN MIN CHEN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-2070
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Mailing Address
Dr. ETHAN MIN CHEN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-2070
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