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Individual
JENNIE PHAM CHEN
Active
Individual
JENNIE PHAM CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284047202
—
TX
Enumeration date
06/22/2011
Last updated
11/15/2018
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