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1790002293
JOHNNY FAN
SAN FRANCISCO, CA
NPI
1790002293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT13251)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
Mr. JOHNNY FAN P.T.
375 LAGUNA HONDA BLVD F5
SAN FRANCISCO, CA 94116-1411
Phone number: 415-682-1744
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Mailing Address
Mr. JOHNNY FAN P.T.
375 LAGUNA HONDA BLVD F5
SAN FRANCISCO, CA 94116-1411
Phone number: 415-682-1744
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