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1205448644
TABITHA TAMARA BLACK
TORRANCE, CA
NPI
1205448644
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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
2020-08-18
Last Update Date
2020-08-18
Business Address
Ms. TABITHA TAMARA BLACK
HARBOR UCLA DMH 1000 W CARSON STREET NUMBER 488
TORRANCE, CA 90502
Phone number: 424-306-5737
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Mailing Address
Ms. TABITHA TAMARA BLACK
2158 W PACIFIC AVE
ANAHEIM, CA 92804-6049
Phone number: 562-682-0116
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