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1013462878
LISA DUONG TAN
LOS ANGELES, CA
NPI
1013462878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 291707)
Enumeration Date
2016-08-22
Last Update Date
2023-11-27
Business Address
Dr. LISA DUONG TAN DPT
1640 MARENGO ST STE 102
LOS ANGELES, CA 90033-1061
Phone number: 323-865-1200
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Mailing Address
Dr. LISA DUONG TAN DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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