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Individual
PRISCILLA CHAN
Active
Individual
PRISCILLA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A128973
CA
Other
Enumeration date
05/24/2012
Last updated
06/09/2014
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