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1588246284
CRYSTAL FAME
SANTA ANA, CA
NPI
1588246284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A22816)
Enumeration Date
2021-04-22
Last Update Date
2024-09-13
Business Address
CRYSTAL FAME DO
2212 E 4TH ST
SANTA ANA, CA 92705-3870
Phone number: 714-618-9540
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Mailing Address
CRYSTAL FAME DO
2212 E 4TH ST
SANTA ANA, CA 92705-3870
Phone number: 714-618-9540
Copy
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