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1154018513
CAROLYN K FAN
DALLAS, TX
NPI
1154018513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
CAROLYN K FAN
3500 GASTON AVE
DALLAS, TX 75246-2088
Phone number: 214-820-0111
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Mailing Address
CAROLYN K FAN
5648 AUDEN ST
HOUSTON, TX 77005-2008
Phone number:
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