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1174138804
MYCHELLE PHAN
APO, AP
NPI
1174138804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1330509)
Enumeration Date
2020-09-10
Last Update Date
2023-11-06
Business Address
MYCHELLE PHAN PT, DPT, OCS
51ST MEDICAL GROUP UNIT 2060
APO, AP 96278-2060
Phone number: 315-784-2157
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Mailing Address
MYCHELLE PHAN PT, DPT, OCS
51ST MEDICAL GROUP UNIT 2060
APO, AP 96278-2060
Phone number:
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