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1194950303
RUBY WAIYEE TAM
CRYSTAL, MN
NPI
1194950303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 53209)
Enumeration Date
2009-05-18
Last Update Date
2012-09-24
Business Address
RUBY WAIYEE TAM D.O.
5700 BOTTINEAU BLVD SUITE 100
CRYSTAL, MN 55429-3183
Phone number: 763-504-6500
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Mailing Address
RUBY WAIYEE TAM D.O.
5700 BOTTINEAU BLVD SUITE 100
CRYSTAL, MN 55429-3183
Phone number:
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