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1659715548
DIEN TANG
GROTON, CT
NPI
1659715548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
Mr. DIEN TANG
159 TROUT AVENUE
GROTON, CT 06349
Phone number: 978-821-5791
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Mailing Address
Mr. DIEN TANG
159 TROUT AVENUE
GROTON, CT 06349
Phone number: 978-821-5791
Copy
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