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1245542976
ALEXANDER M TANJUAKIO
DALLAS, TX
NPI
1245542976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 701513)
Enumeration Date
2010-07-10
Last Update Date
2012-01-18
Business Address
-- ALEXANDER M TANJUAKIO FNP-BC
3100 MCKINNON ST SUITE 400
DALLAS, TX 75201-1044
Phone number: 214-754-8700
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Mailing Address
-- ALEXANDER M TANJUAKIO FNP-BC
10605 LANSDOWNE LN
ROWLETT, TX 75089-8388
Phone number: 214-577-5016
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