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1649904210
JACKLYNNE PHAN
SAN DIEGO, CA
NPI
1649904210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA6777)
Enumeration Date
2022-07-11
Last Update Date
2024-10-16
Business Address
JACKLYNNE PHAN
4282 GENESEE AVE STE 201
SAN DIEGO, CA 92117-4964
Phone number: 858-746-7882
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Mailing Address
JACKLYNNE PHAN
4282 GENESEE AVE STE 201
SAN DIEGO, CA 92117-4964
Phone number: 858-746-7882
Copy
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