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1215597042
BAO PHAN
ORANGE, CA
NPI
1215597042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH74314)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
BAO PHAN
1538 E CHAPMAN AVE
ORANGE, CA 92866-2231
Phone number: 714-288-1790
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Mailing Address
BAO PHAN
1124 S ARAPAHO DR
SANTA ANA, CA 92704-2407
Phone number: 714-721-3483
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