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1558024570
EUNICE JILL CANONIZADO PHAN
TUSTIN, CA
NPI
1558024570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95018278)
Enumeration Date
2021-10-17
Last Update Date
2024-06-18
Business Address
EUNICE JILL CANONIZADO PHAN MSN, FNP-BC, FNP-C
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
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Mailing Address
EUNICE JILL CANONIZADO PHAN MSN, FNP-BC, FNP-C
1818 S STATE COLLEGE BLVD UNIT 248
ANAHEIM, CA 92806-8908
Phone number: 619-208-6882
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