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1538363163
PHUNG KIM TANG
CENTENNIAL, CO
NPI
1538363163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 603)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- PHUNG KIM TANG
7200 S ALTON WAY STE B-110
CENTENNIAL, CO 80112-2201
Phone number: 720-489-0790
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Mailing Address
-- PHUNG KIM TANG
13548 ANTARES DR
LITTLETON, CO 80124-2510
Phone number:
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