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1912216987
KIMBERLY SUE PHAN
IRVINE, CA
NPI
1912216987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 13980)
Enumeration Date
2010-09-24
Last Update Date
2010-09-24
Business Address
Dr. KIMBERLY SUE PHAN D.O
13662A JAMBOREE RD
IRVINE, CA 92620-1201
Phone number: 714-508-4972
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Mailing Address
Dr. KIMBERLY SUE PHAN D.O
2555 MAIN ST APT 2059
IRVINE, CA 92614-3200
Phone number: 951-522-1370
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