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1013951425
VIVIAN L TAN
MODESTO, CA
NPI
1013951425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A79793)
Enumeration Date
2006-06-15
Last Update Date
2011-02-09
Business Address
-- VIVIAN L TAN M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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Mailing Address
-- VIVIAN L TAN M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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