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1477280006
CHANTAL ANGELIQUE FRY
SAN JOSE, CA
NPI
1477280006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA61339)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
CHANTAL ANGELIQUE FRY PA
2105 FOREST AVE
SAN JOSE, CA 95128-1425
Phone number: 408-947-2500
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Mailing Address
CHANTAL ANGELIQUE FRY PA
2105 FOREST AVE
SAN JOSE, CA 95128-1425
Phone number: 408-947-2500
Copy
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