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1316190531
JACK CHEN
SANTA CLARA, CA
NPI
1316190531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 18657)
Enumeration Date
2008-10-31
Last Update Date
2022-01-31
Business Address
Mr. JACK CHEN MSN, FNP-BC
710 LAWRENCE EXPRESSWAY
SANTA CLARA, CA 95051
Phone number: 408-851-6210
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Mailing Address
Mr. JACK CHEN MSN, FNP-BC
710 LAWRENCE EXPRESSWAY SUITE 282
SANTA CLARA, CA 95051
Phone number: 408-851-2399
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