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1376141275
ANDY FANG
IRVINE, CA
NPI
1376141275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 50733)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
ANDY FANG
45 PALATINE APT 246
IRVINE, CA 92612-7642
Phone number: 415-606-3808
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Mailing Address
ANDY FANG
45 PALATINE APT 246
IRVINE, CA 92612-7642
Phone number:
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