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1255701678
STEPHANIE FANCHIANG
SAN DIEGO, CA
NPI
1255701678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-09-28
Last Update Date
2016-12-06
Business Address
-- STEPHANIE FANCHIANG
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-772-6795
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Mailing Address
-- STEPHANIE FANCHIANG
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number:
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