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1669571063
TIM PHAN
SAN BERNARDINO, CA
NPI
1669571063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32462)
Enumeration Date
2006-09-22
Last Update Date
2021-11-29
Business Address
Dr. TIM PHAN DPT
2037 N D ST STE 105
SAN BERNARDINO, CA 92405-3936
Phone number: 909-886-6286
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Mailing Address
Dr. TIM PHAN DPT
2736 S ERIN WAY
SAN BERNARDINO, CA 92408-4178
Phone number: 909-913-1488
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