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1972669091
SON PHAN
ORANGE, CA
NPI
1972669091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0203X Radiology, Therapeutic Radiology
(Licence: CA 102974)
Enumeration Date
2007-01-01
Last Update Date
2012-02-17
Business Address
Mr. SON PHAN
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-6921
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Mailing Address
Mr. SON PHAN
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number:
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