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1174107551
ANDREW PHAN
FREMONT, CA
NPI
1174107551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A21461)
Enumeration Date
2021-05-11
Last Update Date
2024-08-08
Business Address
ANDREW PHAN DO
39400 PASEO PADRE PKWY
FREMONT, CA 94538-2310
Phone number: 510-248-3000
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Mailing Address
ANDREW PHAN DO
4439 MARGERY DR
FREMONT, CA 94538-2609
Phone number:
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