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1669237236
MICHELLE NATHANIA TAN
SAN DIEGO, CA
NPI
1669237236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-02-14
Last Update Date
2024-06-13
Business Address
MICHELLE NATHANIA TAN
34800 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 559-321-1656
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Mailing Address
MICHELLE NATHANIA TAN
34800 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 619-532-6400
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