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1649345695
SON PHAN
STOCKTON, CA
NPI
1649345695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- SON PHAN
8882 HILDRETH LN
STOCKTON, CA 95212-9428
Phone number: 209-825-3616
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Mailing Address
-- SON PHAN
8882 HILDRETH LANE
STOCKTON, CA 95212
Phone number:
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