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1528084613
JOSE TAN
BRIDGEPORT, CT
NPI
1528084613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: CT 016788)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Dr. JOSE TAN MD
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-4490
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Mailing Address
Dr. JOSE TAN MD
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number:
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