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1487322483
QIAN KUN TAN
GREAT NECK, NY
NPI
1487322483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347776)
Enumeration Date
2021-09-03
Last Update Date
2021-09-03
Business Address
QIAN KUN TAN FNP-BC
865 NORTHERN BLVD SUITE 203
GREAT NECK, NY 11021
Phone number: 516-708-2540
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Mailing Address
QIAN KUN TAN FNP-BC
865 NORTHERN BLVD SUITE 203
GREAT NECK, NY 11021
Phone number: 516-708-2540
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