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1972930394
JENNIFER KIM PHAN
SANTA ROSA, CA
NPI
1972930394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 69544)
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
Dr. JENNIFER KIM PHAN
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Phone number: 707-575-0665
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Mailing Address
Dr. JENNIFER KIM PHAN
1280 PECOS WAY
SUNNYVALE, CA 94089
Phone number: 408-910-2448
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