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1801093570
JENNIE JESSICA FAN
LOS ANGELES, CA
NPI
1801093570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 13246)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Dr. JENNIE JESSICA FAN OD
1300 N VERMONT AVE DOCTOR'S TOWER, SUITE 101
LOS ANGELES, CA 90027-6005
Phone number: 323-667-2102
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Mailing Address
Dr. JENNIE JESSICA FAN OD
28281 SOMERSET
MISSION VIEJO, CA 92692-2889
Phone number: 949-581-2239
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