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1205308046
THOMAS TAE
LOS ANGELES, CA
NPI
1205308046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA NP95011784)
Enumeration Date
2018-12-18
Last Update Date
2023-01-11
Business Address
THOMAS TAE arnp
3530 WILSHIRE BLVD STE 1200
LOS ANGELES, CA 90010-2343
Phone number: 425-273-8095
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Mailing Address
THOMAS TAE arnp
12640 DOUBLE EAGLE DR
MUKILTEO, WA 98275-5556
Phone number: 425-273-8095
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