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1174811624
MARJORIE M. CHAN
COSTA MESA, CA
NPI
1174811624
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Former Name
MARJORIE S. MANZANILLA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 20829)
Enumeration Date
2011-07-19
Last Update Date
2021-11-03
Business Address
Ms. MARJORIE M. CHAN NP
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626-3061
Phone number: 888-789-9585
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Mailing Address
Ms. MARJORIE M. CHAN NP
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626-3061
Phone number: 714-619-8777
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