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1326588583
COLLEEN TAN
LOS ANGELES, CA
NPI
1326588583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-03-06
Last Update Date
2023-06-16
Business Address
COLLEEN TAN
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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Mailing Address
COLLEEN TAN
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
Copy
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