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1295116226
MEDINA TAHIR
CAMPBELL, CA
NPI
1295116226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT35241)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
-- MEDINA TAHIR
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3796
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Mailing Address
-- MEDINA TAHIR
986 ALMADEN LAKE DR
SAN JOSE, CA 95123-5375
Phone number: 408-460-2652
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