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1114347887
TAI LAI
SAN JOSE, CA
NPI
1114347887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- TAI LAI
102 SOUTH 11 STREET
SAN JOSE, CA 95112
Phone number: 408-998-5191
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Mailing Address
-- TAI LAI
102 SOUTH 11 STREET
SAN JOSE, CA 95112
Phone number: 408-998-5191
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