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1972035350
ELLYN M PHAN
LAKEWOOD, CA
NPI
1972035350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A169745)
Enumeration Date
2017-04-03
Last Update Date
2024-06-07
Business Address
Miss ELLYN M PHAN M.D.
4447 CANDLEWOOD ST
LAKEWOOD, CA 90712-1736
Phone number: 657-241-9935
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Mailing Address
Miss ELLYN M PHAN M.D.
4447 CANDLEWOOD ST
LAKEWOOD, CA 90712-1736
Phone number: 657-241-9935
Copy
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