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1568550119
TRI DUC PHAN
SAN DIEGO, CA
NPI
1568550119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT11733T)
Enumeration Date
2006-10-10
Last Update Date
2007-07-09
Business Address
-- TRI DUC PHAN O.D.
1246 UNIVERSITY AVE
SAN DIEGO, CA 92103-3312
Phone number: 619-291-0202
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Mailing Address
-- TRI DUC PHAN O.D.
1246 UNIVERSITY AVE
SAN DIEGO, CA 92103-3312
Phone number: 619-291-0202
Copy
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