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1710992698
PHILIP B TANGE
BRAINERD, MN
NPI
1710992698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 00131)
Enumeration Date
2006-07-29
Last Update Date
2007-07-09
Business Address
-- PHILIP B TANGE MSW
617 OAK ST
BRAINERD, MN 56401-3610
Phone number: 218-829-7140
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Mailing Address
-- PHILIP B TANGE MSW
617 OAK ST
BRAINERD, MN 56401-3610
Phone number: 218-829-7140
Copy
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