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1407923220
ANTONIUS Y. TAN
FONTANA, CA
NPI
1407923220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A31770)
Enumeration Date
2006-11-29
Last Update Date
2021-11-18
Business Address
ANTONIUS Y. TAN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
ANTONIUS Y. TAN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Copy
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