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1053460519
JOSE TAN
CRANFORD, NJ
NPI
1053460519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00814100)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
MR. JOSE TAN PT
30 S UNION AVE
CRANFORD, NJ 07016-2833
Phone number: 908-653-1776
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Mailing Address
MR. JOSE TAN PT
30 S UNION AVE
CRANFORD, NJ 07016-2833
Phone number: 908-653-1776
Copy
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