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1740639442
MARK CHAN
HAYWARD, CA
NPI
1740639442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 53443)
Enumeration Date
2016-06-03
Last Update Date
2016-06-03
Business Address
-- MARK CHAN
27200 CALAROGA AVE
HAYWARD, CA 94545-4339
Phone number: 510-264-4000
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Mailing Address
-- MARK CHAN
27200 CALAROGA AVE
HAYWARD, CA 94545-4339
Phone number:
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