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1104094945
TAK LUNG RAYMOND TANG
POMPANO BEACH, FL
NPI
1104094945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 3395302)
Enumeration Date
2008-02-14
Last Update Date
2019-07-30
Business Address
Mr. TAK LUNG RAYMOND TANG APRN
1550 BLOUNT RD
POMPANO BEACH, FL 33069-1118
Phone number: 954-831-3527
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Mailing Address
Mr. TAK LUNG RAYMOND TANG APRN
12300 NW 10TH ST
PLANTATION, FL 33323-2504
Phone number: 954-530-2660
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