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1639324619
MICHELLE C PHAN
RANCHO CUCAMONGA, CA
NPI
1639324619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 13625T)
Enumeration Date
2008-11-18
Last Update Date
2021-11-30
Business Address
Dr. MICHELLE C PHAN O.D.
10850 ARROW RTE
RANCHO CUCAMONGA, CA 91730-4833
Phone number: 833-574-2273
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Mailing Address
Dr. MICHELLE C PHAN O.D.
168 S E ST
SAN BERNARDINO, CA 92401-1920
Phone number: 909-884-4859
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