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1114089240
CHIAO-YA GRACE FAN
CYPRESS, TX
NPI
1114089240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX L3296)
Enumeration Date
2006-12-14
Last Update Date
2008-08-12
Business Address
Dr. CHIAO-YA GRACE FAN MD
15201 MASON RD STE 1200
CYPRESS, TX 77433-5977
Phone number: 281-373-0162
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Mailing Address
Dr. CHIAO-YA GRACE FAN MD
15201 MASON RD STE 1200
CYPRESS, TX 77433-5977
Phone number: 281-373-0162
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