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1104288562
LEAH PHAN
FOUNTAIN VALLEY, CA
NPI
1104288562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A15916)
Enumeration Date
2016-03-24
Last Update Date
2019-06-12
Business Address
LEAH PHAN D.O.
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708-2529
Phone number: 714-549-1300
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Mailing Address
LEAH PHAN D.O.
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708-2529
Phone number:
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