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1306913249
KIET PHAN
BALDWIN PARK, CA
NPI
1306913249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A61161)
Enumeration Date
2006-11-29
Last Update Date
2021-12-03
Business Address
KIET PHAN MD
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
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Mailing Address
KIET PHAN MD
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Copy
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