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1508462862
DEREK QUAN
ONTARIO, CA
NPI
1508462862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015979)
Enumeration Date
2020-12-10
Last Update Date
2023-03-03
Business Address
DEREK QUAN NP-C
3110 E GUASTI RD
ONTARIO, CA 91761-1219
Phone number: 858-592-2000
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Mailing Address
DEREK QUAN NP-C
17855 DALLAS PKWY STE 200
DALLAS, TX 75287-6857
Phone number: 346-376-1702
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