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1467874792
EVANGELINE VICTORIA LAN
OAKLAND, CA
NPI
1467874792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86001775)
Enumeration Date
2014-01-06
Last Update Date
2015-07-22
Business Address
-- EVANGELINE VICTORIA LAN MS, RD
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3885
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Mailing Address
-- EVANGELINE VICTORIA LAN MS, RD
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3885
Copy
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