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1336843507
KENNETH TAN
SAN JOSE, CA
NPI
1336843507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
KENNETH TAN M.D.
751 S BASCOM AVE
SAN JOSE, CA 95128-2699
Phone number: 408-885-5000
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Mailing Address
KENNETH TAN M.D.
751 S BASCOM AVE
SAN JOSE, CA 95128-2699
Phone number:
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