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1568857365
TEDMAN LUCERO TAN
VINELAND, NJ
NPI
1568857365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NJ 25MD00343900)
Enumeration Date
2015-03-30
Last Update Date
2019-05-13
Business Address
TEDMAN LUCERO TAN
238 W CHESTNUT AVE
VINELAND, NJ 08360-5550
Phone number: 856-691-2152
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Mailing Address
TEDMAN LUCERO TAN
37 DARBY LN
MAYS LANDING, NJ 08330-1459
Phone number: 609-513-9150
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