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Individual
DR. LIZA ANTOINETTE JAIN PHU
Active
Individual
DR. LIZA ANTOINETTE JAIN PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.129032
IL
207Q00000X
Family Medicine Physician
Primary
53359
MN
207Q00000X
Family Medicine Physician
60116222
WA
Other
Enumeration date
05/22/2009
Last updated
11/10/2020
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