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1093269326
DIANE VU PHAN
SAN DIEGO, CA
NPI
1093269326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT291612)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- DIANE VU PHAN PT, DPT
11772 SORRENTO VALLEY RD 250
SAN DIEGO, CA 92121-1015
Phone number: 800-683-1209
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Mailing Address
-- DIANE VU PHAN PT, DPT
425 SPRUCE AVE
GALLOWAY, NJ 08205-4543
Phone number: 609-457-3584
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