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1902643695
JENNY PHAN
SAN JOSE, CA
NPI
1902643695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA 95093398)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
JENNY PHAN
2951 WALL ST
SAN JOSE, CA 95111-4600
Phone number: 408-603-6553
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Mailing Address
JENNY PHAN
2951 WALL ST
SAN JOSE, CA 95111-4600
Phone number: 408-603-6553
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