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1720014657
LAI WAN TAN
BREMERTON, WA
NPI
1720014657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00036150)
Enumeration Date
2006-06-23
Last Update Date
2023-03-07
Business Address
-- LAI WAN TAN M.D.
2512 WHEATON WAY
BREMERTON, WA 98310-3303
Phone number: 360-782-3700
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Mailing Address
-- LAI WAN TAN M.D.
2512 WHEATON WAY
BREMERTON, WA 98310-3303
Phone number:
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