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1194492355
JIAQI CHEN
LOS ANGELES, CA
NPI
1194492355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 48195)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
JIAQI CHEN
1985 ZONAL AVE
LOS ANGELES, CA 90089-5305
Phone number: 323-442-1369
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Mailing Address
JIAQI CHEN
2488 AQUASANTA
TUSTIN, CA 92782-1103
Phone number: 319-519-3545
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