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1609352798
RICHARD PHAN
BERKELEY, CA
NPI
1609352798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT33976-TLG)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Dr. RICHARD PHAN OD
200 MINOR LN
BERKELEY, CA 94720
Phone number: 510-642-2020
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Mailing Address
Dr. RICHARD PHAN OD
507 N HANOVER ST
ANAHEIM, CA 92801-5007
Phone number: 714-515-9721
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