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Individual

EDIE YEE CHAN

Active
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Individual

EDIE YEE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036109245
IL
208600000X
Surgery Physician
036109245
IL
208600000X
Surgery Physician
MD00045000
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
335890
INTERNAL ID-MOTOR VEHICLE ID
05
8430654
WA
Enumeration date
02/15/2007
Last updated
03/01/2022
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