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1841579950
SONNY PHAN
SAN JOSE, CA
NPI
1841579950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 22158)
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
-- SONNY PHAN mpt
1976 BERNICE WAY
SAN JOSE, CA 95124-2101
Phone number: 408-371-7752
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Mailing Address
-- SONNY PHAN mpt
1976 BERNICE WAY
SAN JOSE, CA 95124-2101
Phone number: 408-371-7752
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