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1922740356
AUDREY MARIETTA PHAN
DALLAS, TX
NPI
1922740356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
AUDREY MARIETTA PHAN MD
1441 N BECKLEY AVE
DALLAS, TX 75203-1201
Phone number: 214-947-6700
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Mailing Address
AUDREY MARIETTA PHAN MD
5623 HAMILTON WOLFE APT 523
SAN ANTONIO, TX 78240-4055
Phone number: 847-840-8790
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