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1114273034
JUN JINE JACK TAN
BRONX, NY
NPI
1114273034
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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
2012-07-29
Last Update Date
2012-07-29
Business Address
Dr. JUN JINE JACK TAN D.M.D.
3450 WAYNE AVE 16L
BRONX, NY 10467-2510
Phone number: 347-972-3540
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Mailing Address
Dr. JUN JINE JACK TAN D.M.D.
3450 WAYNE AVE 16L
BRONX, NY 10467-2510
Phone number: 347-972-3540
Copy
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