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1982623591
JULIE TAN ANTIQUE
JACKSON, TN
NPI
1982623591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: TN 38425)
Enumeration Date
2006-07-18
Last Update Date
2010-02-10
Business Address
JULIE TAN ANTIQUE MD
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-6472
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Mailing Address
JULIE TAN ANTIQUE MD
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-6472
Copy
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