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1518383652
EVITA KHO TAN
TEMPLE, TX
NPI
1518383652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP1253374)
Enumeration Date
2014-03-13
Last Update Date
2023-08-11
Business Address
EVITA KHO TAN APRN
2401 S 31ST ST
TEMPLE, TX 76508-4145
Phone number: 254-724-2111
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Mailing Address
EVITA KHO TAN APRN
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-994-0371
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