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1043753957
STEPHANIE MICHELLE TAI
BERKELEY, CA
NPI
1043753957
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Former Name
STEPHANIE MICHELLE GUEST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005891)
Enumeration Date
2016-11-24
Last Update Date
2021-07-26
Business Address
STEPHANIE MICHELLE TAI FNP, MSN, RN
2500 MILVIA ST
BERKELEY, CA 94704-2636
Phone number: 510-204-5600
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Mailing Address
STEPHANIE MICHELLE TAI FNP, MSN, RN
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 510-204-5514
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