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1396220018
EDWIN TANTIANGCO
MILFORD, DE
NPI
1396220018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0001224)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
EDWIN TANTIANGCO PTA
100 DELAWARE VETERANS BLVD
MILFORD, DE 19963-5395
Phone number: 302-424-6000
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Mailing Address
EDWIN TANTIANGCO PTA
27219 BUCKSKIN TRL
HARBESON, DE 19951-2719
Phone number: 302-569-0685
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