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1992341606
BRIANA TAN
VISALIA, CA
NPI
1992341606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57253)
Enumeration Date
2019-11-18
Last Update Date
2022-03-11
Business Address
Ms. BRIANA TAN PA-C
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2213
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Mailing Address
Ms. BRIANA TAN PA-C
393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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