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1497020580
MARIA D FAN
SEATTLE, WA
NPI
1497020580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD60535288)
Enumeration Date
2012-03-21
Last Update Date
2022-07-25
Business Address
MARIA D FAN MD
515 MINOR AVE STE 300
SEATTLE, WA 98104-2133
Phone number: 206-386-9500
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Mailing Address
MARIA D FAN MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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