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1356842843
JERICK TAN
DUARTE, CA
NPI
1356842843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 95008276)
Enumeration Date
2018-02-21
Last Update Date
2020-11-13
Business Address
JERICK TAN NP
1500 E DUARTE ROAD
DUARTE, CA 91010
Phone number: 626-256-4673
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Mailing Address
JERICK TAN NP
17952 E EDNA PL
COVINA, CA 91722-3201
Phone number: 626-673-2210
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