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1275004202
RAYMOND ENRIQUEZ TAN
SAN DIEGO, CA
NPI
1275004202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95155500)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
Mr. RAYMOND ENRIQUEZ TAN RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
Mr. RAYMOND ENRIQUEZ TAN RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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