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1336632298
SEVERINO M TAN
PARIS, TX
NPI
1336632298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: TX 1073997)
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
SEVERINO M TAN DPT
1675 NE LOOP 286
PARIS, TX 75460-2219
Phone number: 903-782-9922
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Mailing Address
SEVERINO M TAN DPT
235 33RD ST SW
PARIS, TX 75460-5369
Phone number: 903-517-6248
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