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1417319435
FORD TAN
BROOKLYN, NY
NPI
1417319435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 710122)
Enumeration Date
2016-03-28
Last Update Date
2016-03-28
Business Address
-- FORD TAN
2441A E 14TH ST
BROOKLYN, NY 11235-3901
Phone number: 718-809-6761
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Mailing Address
-- FORD TAN
2441A E 14TH ST
BROOKLYN, NY 11235-3901
Phone number: 718-809-6761
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