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Individual
JOSE MARCELINO J DONATO TANA
Active
Individual
JOSE MARCELINO J DONATO TANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4090C
AS
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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