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1477032621
KINGSLEY TAN
BALDWIN PARK, CA
NPI
1477032621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
KINGSLEY TAN PA-C
4829 FORTIN ST
BALDWIN PARK, CA 91706-1957
Phone number: 626-290-7539
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Mailing Address
KINGSLEY TAN PA-C
4829 FORTIN ST
BALDWIN PARK, CA 91706-1957
Phone number: 626-290-7539
Copy
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