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Individual
MAI-KING CHRYSTAL CHAN
Active
Individual
MAI-KING CHRYSTAL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
141489
CA
208000000X
Pediatrics Physician
Primary
35121029
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084755
—
OH
Enumeration date
06/02/2010
Last updated
12/14/2016
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