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1104132422
JINGYI TAN
SAN DIEGO, CA
NPI
1104132422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14057)
Enumeration Date
2010-08-24
Last Update Date
2010-08-24
Business Address
-- JINGYI TAN O.D.
4353 LA JOLLA VILLAGE DR SUITE H20
SAN DIEGO, CA 92122-1259
Phone number: 858-622-2171
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Mailing Address
-- JINGYI TAN O.D.
1049 FELSPAR ST UNIT #33
SAN DIEGO, CA 92109-2828
Phone number: 678-687-6505
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