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1184441552
SHAUN KAINOA TAM
MODESTO, CA
NPI
1184441552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
SHAUN KAINOA TAM
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
SHAUN KAINOA TAM
4121 DALE RD APT 71
MODESTO, CA 95356-8603
Phone number:
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