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1093018947
TIFFANY LY
SANTA ANA, CA
NPI
1093018947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-12-15
Last Update Date
2011-11-23
Business Address
TIFFANY LY BA
3611 S HARBOR BLVD
SANTA ANA, CA 92704-6928
Phone number: 714-966-8650
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Mailing Address
TIFFANY LY BA
3611 S. HARBOR BLVD.
SANTA ANA, CA 92704
Phone number:
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