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1023390127
SUNHA JOHANNA TALLAKSON
SAN JOSE, CA
NPI
1023390127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
-- SUNHA JOHANNA TALLAKSON
210 N 4TH ST
SAN JOSE, CA 95112-5569
Phone number: 510-856-7251
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Mailing Address
-- SUNHA JOHANNA TALLAKSON
405 RANCHO ARROYO PKWY #321
FREMONT, CA 94536-2756
Phone number: 510-856-7251
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