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1346260429
ENRICO TAN
ATHENS, OH
NPI
1346260429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: OH 36002613)
Enumeration Date
2006-07-20
Last Update Date
2011-02-14
Business Address
Dr. ENRICO TAN D.P.M.
410 E STATE ST
ATHENS, OH 45701-1819
Phone number: 740-592-2366
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Mailing Address
Dr. ENRICO TAN D.P.M.
410 E STATE ST
ATHENS, OH 45701-1819
Phone number: 740-592-2366
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