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1619012648
MARY GRACE TAN
ALHAMBRA, CA
NPI
1619012648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 33405)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
MARY GRACE TAN D.P.T.
55 S RAYMOND AVE STE 100
ALHAMBRA, CA 91801-7100
Phone number: 626-576-0591
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Mailing Address
MARY GRACE TAN D.P.T.
13284 WENTWORTH ST
ARLETA, CA 91331-5822
Phone number: 818-994-9266
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