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1750735833
JENNIFER TAN
MODESTO, CA
NPI
1750735833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-14
Last Update Date
2022-02-11
Business Address
-- JENNIFER TAN D.O.
401 PARADISE RD STE E
MODESTO, CA 95351-3163
Phone number: 209-576-3523
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Mailing Address
-- JENNIFER TAN D.O.
401 PARADISE RD STE E
MODESTO, CA 95351-3163
Phone number:
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