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1003179433
PAUL TAN
FLUSHING, NY
NPI
1003179433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY 56 007878)
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
Dr. PAUL TAN O.D.
14467 26TH AVE 1ST FL
FLUSHING, NY 11354-1326
Phone number: 917-215-0782
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Mailing Address
Dr. PAUL TAN O.D.
14467 26TH AVE 1ST FL
FLUSHING, NY 11354-1326
Phone number: 917-215-0782
Copy
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