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1154961183
LI TAN
SAN JOSE, CA
NPI
1154961183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 526552)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
LI TAN
1870 LUNDY AVE
SAN JOSE, CA 95131-1826
Phone number: 408-573-9686
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Mailing Address
LI TAN
1870 LUNDY AVE
SAN JOSE, CA 95131-1826
Phone number:
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