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1841966249
BENJO TAN
SANTA ANA, CA
NPI
1841966249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95017880)
Enumeration Date
2021-08-17
Last Update Date
2022-09-12
Business Address
MR. BENJO TAN
520 N MAIN ST STE 220
SANTA ANA, CA 92701-4623
Phone number: 714-543-5609
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Mailing Address
MR. BENJO TAN
382 N LEMON AVE # 401
WALNUT, CA 91789-2344
Phone number: 949-394-7094
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