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1104557321
JIA TANG
CHESTERFIELD, MO
NPI
1104557321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2022022485)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
JIA TANG MD
224 S WOODS MILL RD STE 400
CHESTERFIELD, MO 63017-3513
Phone number: 314-205-6050
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Mailing Address
JIA TANG MD
224 S WOODS MILL RD STE 400
CHESTERFIELD, MO 63017-3513
Phone number: 314-205-6050
Copy
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