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1629829452
DEXTER TAN
MODESTO, CA
NPI
1629829452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
DEXTER TAN
1400 FLORIDA AVE STE 102
MODESTO, CA 95350-4446
Phone number: 209-573-6180
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Mailing Address
DEXTER TAN
2500 ALLUVIAL AVE
CLOVIS, CA 93611-9544
Phone number: 559-701-2102
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