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1972137446
TRACY PHAN
SAN JOSE, CA
NPI
1972137446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95013765)
Enumeration Date
2020-02-24
Last Update Date
2020-10-29
Business Address
TRACY PHAN NP
969 STORY RD UNIT 6060A
SAN JOSE, CA 95122-4601
Phone number: 408-223-8818
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Mailing Address
TRACY PHAN NP
1569 LEXANN AVE STE 114
SAN JOSE, CA 95121-1794
Phone number: 408-680-1940
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