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1679172142
THU AI PHAN
FULLERTON, CA
NPI
1679172142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 34712)
Enumeration Date
2020-10-25
Last Update Date
2020-10-25
Business Address
Dr. THU AI PHAN OD
1909 W MALVERN AVE
FULLERTON, CA 92833-2177
Phone number: 714-992-8020
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Mailing Address
Dr. THU AI PHAN OD
1909 W MALVERN AVE
FULLERTON, CA 92833-2177
Phone number: 714-992-8020
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