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1609372150
JENNIFER PHAN
SAN DIEGO, CA
NPI
1609372150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008319)
Enumeration Date
2018-04-03
Last Update Date
2022-05-16
Business Address
JENNIFER PHAN FNP
1452 REED AVE
SAN DIEGO, CA 92109-5351
Phone number: 214-603-3338
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Mailing Address
JENNIFER PHAN FNP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 877-608-0044
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