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1932168655
DAVE LYNAEUS TAN
LOMA LINDA, CA
NPI
1932168655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT8728)
Enumeration Date
2006-03-21
Last Update Date
2013-12-23
Business Address
-- DAVE LYNAEUS TAN P.T.
11406 LOMA LINDA DR WEST ENTRANCE
LOMA LINDA, CA 92354-3711
Phone number: 909-558-6501
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Mailing Address
-- DAVE LYNAEUS TAN P.T.
2120 E COLUNGA ST
COLTON, CA 92324-4577
Phone number: 909-370-1175
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