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1104404136
DAVID TAN MCDOUGAL
MIAMI, FL
NPI
1104404136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
Dr. DAVID TAN MCDOUGAL DO
11750 SW 40TH ST
MIAMI, FL 33175-3530
Phone number: 786-315-5925
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Mailing Address
Dr. DAVID TAN MCDOUGAL DO
11750 SW 40TH ST
MIAMI, FL 33175-3530
Phone number:
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