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1184455057
SI JIE TANG
SACRAMENTO, CA
NPI
1184455057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
SI JIE TANG
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 209-346-2353
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Mailing Address
SI JIE TANG
1059 MIEL ST
MANTECA, CA 95337-8769
Phone number:
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