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1245435528
SOTHEAVY TAN
OAKLAND, CA
NPI
1245435528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Ms. SOTHEAVY TAN MHS
310 8TH ST 201
OAKLAND, CA 94607-6526
Phone number: 510-869-6090
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Mailing Address
Ms. SOTHEAVY TAN MHS
2884 SANDERLING DR
FREMONT, CA 94555-1367
Phone number: 510-996-6929
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