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1134277569
ANTONIO A. TAN
MORENO VALLEY, CA
NPI
1134277569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A45416)
Enumeration Date
2007-01-08
Last Update Date
2007-07-09
Business Address
Dr. ANTONIO A. TAN M.D.
12980 FREDERICK ST SUITE D
MORENO VALLEY, CA 92553-5263
Phone number: 951-485-2744
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Mailing Address
Dr. ANTONIO A. TAN M.D.
12980 FREDERICK ST SUITE D
MORENO VALLEY, CA 92553-5263
Phone number: 951-485-2744
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