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1871963405
STEPHANIE TAN
BRONX, NY
NPI
1871963405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: NY 281783)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- STEPHANIE TAN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- STEPHANIE TAN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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