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1982015210
JENNY PHAN
MORENO VALLEY, CA
NPI
1982015210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A13101)
Enumeration Date
2014-05-08
Last Update Date
2021-12-03
Business Address
-- JENNY PHAN
26520 CACTUS AVE FAMILY MEDICINE DEPARTMENT
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5593
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Mailing Address
-- JENNY PHAN
26520 CACTUS AVE FAMILY MEDICINE DEPARTMENT
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5611
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