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1144308636
LOI P. PHAN
ROSEVILLE, CA
NPI
1144308636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A90373)
Enumeration Date
2006-11-01
Last Update Date
2021-12-20
Business Address
LOI P. PHAN MD
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 916-784-4000
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Mailing Address
LOI P. PHAN MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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