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1124503768
WILLIAM PHAN
SAN DIEGO, CA
NPI
1124503768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 295446)
Enumeration Date
2018-09-29
Last Update Date
2024-07-25
Business Address
WILLIAM PHAN DPT
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7189
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Mailing Address
WILLIAM PHAN DPT
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-605-7189
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