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1134153646
ELLEN FAN
PLANO, TX
NPI
1134153646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0805X Psychiatry & Neurology Geriatric Psychiatry
(Licence: TX K8897)
Enumeration Date
2006-07-10
Last Update Date
2013-06-05
Business Address
ELLEN FAN M.D.
3308 PRESTON RD SUITE 350 BOX 242
PLANO, TX 75093-7453
Phone number: 972-769-8572
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Mailing Address
ELLEN FAN M.D.
3308 PRESTON RD SUITE 350 BOX 242
PLANO, TX 75093-7453
Phone number: 972-769-8572
Copy
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