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1245260538
WARREN C FAN
UPLAND, CA
NPI
1245260538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA A32805)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
WARREN C FAN M.D.
637 NORTH 13TH AVENUE
UPLAND, CA 91786
Phone number: 909-946-4106
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Mailing Address
WARREN C FAN M.D.
637 N 13TH AVE
UPLAND, CA 91786-4906
Phone number: 909-946-4106
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