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1699887331
SALLY QUE POA TAN
OKLAHOMA CITY, OK
NPI
1699887331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 19992)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. SALLY QUE POA TAN M.D.
1110 N CLASSEN BLVD SUITE 204
OKLAHOMA CITY, OK 73106-6843
Phone number: 405-319-1622
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Mailing Address
Dr. SALLY QUE POA TAN M.D.
16804 SHORERUN DR
EDMOND, OK 73003-8431
Phone number: 405-359-6640
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