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1669716791
VISOTH CHAN
MISSION VIEJO, CA
NPI
1669716791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E5026)
Enumeration Date
2012-11-15
Last Update Date
2013-08-05
Business Address
-- VISOTH CHAN DPM
26732 CROWN VALLEY PKWY SUITE 317
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-2525
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Mailing Address
-- VISOTH CHAN DPM
1725 E JACKSON ST
LONG BEACH, CA 90805-6221
Phone number:
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