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1972216109
EMILY FAN
VALLEJO, CA
NPI
1972216109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
EMILY FAN
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5200
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Mailing Address
EMILY FAN
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number:
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