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1801951702
KELLY C PHANH
MERCED, CA
NPI
1801951702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15289)
Enumeration Date
2006-12-22
Last Update Date
2008-09-26
Business Address
KELLY C PHANH PA
394 E YOSEMITE AVE STE 200
MERCED, CA 95340-8218
Phone number: 209-383-3990
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Mailing Address
KELLY C PHANH PA
3144 G ST STE 125 PMB 293
MERCED, CA 95340-1385
Phone number: 209-383-3990
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