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1699383570
JONATHAN CHAN
GARDEN GROVE, CA
NPI
1699383570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT35306)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
JONATHAN CHAN DPT
14221 EUCLID ST STE F
GARDEN GROVE, CA 92843-4991
Phone number: 714-891-2739
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Mailing Address
JONATHAN CHAN DPT
264 DESERT BLOOM
IRVINE, CA 92618-8872
Phone number: 951-392-1320
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