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1942463229
OLIVER TAN PHAN
EDINA, MN
NPI
1942463229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MN 57455)
Enumeration Date
2008-07-07
Last Update Date
2016-01-20
Business Address
-- OLIVER TAN PHAN MD
6363 FRANCE AVE S SUITE 400
EDINA, MN 55435-2129
Phone number: 763-221-3201
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Mailing Address
-- OLIVER TAN PHAN MD
6363 FRANCE AVE S SUITE 400
EDINA, MN 55435-2129
Phone number: 763-221-3201
Copy
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