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Individual

JOHN MARK TANDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
1111 BARRANCA DR, SUITE 700, EL PASO, TX 79935-5004
(915) 591-3130
(915) 591-3136
Mailing address
1111 BARRANCA DR, SUITE 700, EL PASO, TX 79935-5004
(915) 591-3130
(915) 591-3136

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
08/10/2011
Last updated
08/10/2011
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