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1134312069
EDGIN ADIA TAN
MILWAUKIE, OR
NPI
1134312069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 1995)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
Mr. EDGIN ADIA TAN PT
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
Mr. EDGIN ADIA TAN PT
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97222
Phone number: 971-206-5149
Copy
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