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1417483918
TAN LI
LANSING, MI
NPI
1417483918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101023001)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- TAN LI
1200 E MICHIGAN AVE SUITE # 245
LANSING, MI 48912-1800
Phone number: 517-303-9602
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Mailing Address
-- TAN LI
3326 BEAUJARDIN DR APARTMENT 721
LANSING, MI 48910-8577
Phone number: 517-303-9602
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