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1396715769
JESUS HO TAN
FROSTBURG, MD
NPI
1396715769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173000000X Legal Medicine
(Licence: MD 521167179)
Enumeration Date
2006-01-26
Last Update Date
2009-11-16
Business Address
Dr. JESUS HO TAN md
4 S BROADWAY
FROSTBURG, MD 21532-1708
Phone number: 301-689-3138
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Mailing Address
Dr. JESUS HO TAN md
4 S BROADWAY
FROSTBURG, MD 21532-1708
Phone number: 301-689-3138
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