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1619504347
SAMUEL SHING KWAN PHEN
RIVERSIDE, CA
NPI
1619504347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-24
Last Update Date
2023-05-16
Business Address
Dr. SAMUEL SHING KWAN PHEN MD
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518-3035
Phone number: 909-475-2612
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Mailing Address
Dr. SAMUEL SHING KWAN PHEN MD
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518-3035
Phone number: 909-475-2612
Copy
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