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1114686037
QUINN DAI LA
SACRAMENTO, CA
NPI
1114686037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
QUINN DAI LA Student
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 510-599-2750
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Mailing Address
QUINN DAI LA Student
2727 ABBEY ST
OAKLAND, CA 94619-1005
Phone number: 510-599-2750
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