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1205384823
AGNES TAN
LONG BEACH, CA
NPI
1205384823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95004938)
Enumeration Date
2016-09-12
Last Update Date
2021-12-06
Business Address
-- AGNES TAN NP
2699 ATLANTIC AVE
LONG BEACH, CA 90806-2710
Phone number: 562-988-7383
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Mailing Address
-- AGNES TAN NP
2699 ATLANTIC AVE
LONG BEACH, CA 90806-2710
Phone number:
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