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1881269637
DUSTIN H PHAN
COLTON, CA
NPI
1881269637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-24
Last Update Date
2021-06-30
Business Address
DUSTIN H PHAN MD
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
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Mailing Address
DUSTIN H PHAN MD
1115 CLEVELAND WAY
CORONA, CA 92881-5904
Phone number:
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