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1982127452
MIAO TIAN
MODESTO, CA
NPI
1982127452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA A166044)
Enumeration Date
2017-07-17
Last Update Date
2022-04-15
Business Address
MIAO TIAN
4301 NORTHSTAR WAY
MODESTO, CA 95356
Phone number: 209-577-1200
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Mailing Address
MIAO TIAN
4301 NORTHSTAR WAY
MODESTO, CA 95356
Phone number: 209-577-1200
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