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1659662583
GORDON TAN
MORENO VALLEY, CA
NPI
1659662583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A122192)
Enumeration Date
2011-04-26
Last Update Date
2024-11-30
Business Address
Dr. GORDON TAN M.D.
12815 HEACOCK ST
MORENO VALLEY, CA 92553-2836
Phone number: 951-601-6399
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Mailing Address
Dr. GORDON TAN M.D.
12815 HEACOCK ST
MORENO VALLEY, CA 92553-2836
Phone number:
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