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1336103621
EMILIZA NGO TAN
SANTA ROSA, CA
NPI
1336103621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E4045)
Enumeration Date
2006-04-13
Last Update Date
2008-01-22
Business Address
Dr. EMILIZA NGO TAN DPM
1041 4TH ST SUITE B
SANTA ROSA, CA 95404-4329
Phone number: 707-546-2107
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Mailing Address
Dr. EMILIZA NGO TAN DPM
1041 4TH ST SUITE B
SANTA ROSA, CA 95404-4329
Phone number: 707-546-2107
Copy
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