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1245760438
ANTHONY VINH PHAN
URBANA, IL
NPI
1245760438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.070903)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
Dr. ANTHONY VINH PHAN DO
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
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Mailing Address
Dr. ANTHONY VINH PHAN DO
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
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