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1033280912
LARISSA R. TAN
ANAHEIM, CA
NPI
1033280912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA G71354)
Enumeration Date
2006-11-13
Last Update Date
2021-12-03
Business Address
LARISSA R. TAN MD
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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Mailing Address
LARISSA R. TAN MD
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
Copy
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