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Individual

CHARLES FANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
356 7TH ST, SAN FRANCISCO, CA 94103-4030
(415) 487-5506
Mailing address
1001 NATIONAL AVE, APT. 324, SAN BRUNO, CA 94066-5812
(415) 754-8095

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
12/26/2013
Last updated
12/26/2013
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