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1295137669
JACK WEN DUO CHAN-IMAI
OAKLAND, CA
NPI
1295137669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 41586)
Enumeration Date
2014-09-17
Last Update Date
2020-11-05
Business Address
JACK WEN DUO CHAN-IMAI DPT
4341 PIEDMONT AVE STE 201
OAKLAND, CA 94611-4792
Phone number: 510-547-1630
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Mailing Address
JACK WEN DUO CHAN-IMAI DPT
21015 PATHFINDER RD STE 100
DIAMOND BAR, CA 91765-4002
Phone number: 909-861-3511
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