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1134553381
KELLY NGUYEN PHAN
FULLERTON, CA
NPI
1134553381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 37683)
Enumeration Date
2013-08-23
Last Update Date
2013-08-23
Business Address
-- KELLY NGUYEN PHAN DPT
233 ORANGEFAIR MALL
FULLERTON, CA 92832-3038
Phone number: 714-870-6116
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Mailing Address
-- KELLY NGUYEN PHAN DPT
233 ORANGEFAIR MALL
FULLERTON, CA 92832-3038
Phone number: 714-870-6116
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