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1861747222
JUSTINE FAN
FREMONT, CA
NPI
1861747222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-07-20
Last Update Date
2013-07-24
Business Address
Ms. JUSTINE FAN
39155 LIBERTY ST SUITE E500
FREMONT, CA 94538-1513
Phone number: 510-574-2114
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Mailing Address
Ms. JUSTINE FAN
23 WOODHILL DR
REDWOOD CITY, CA 94061
Phone number: 650-839-1687
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