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1023695814
SHI TANG
NORTHRIDGE, CA
NPI
1023695814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
SHI TANG
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325-4107
Phone number: 818-993-4054
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Mailing Address
SHI TANG
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325-4107
Phone number: 818-993-4054
Copy
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