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1295502524
MICAH TASAKA
SAN BERNARDINO, CA
NPI
1295502524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
MICAH TASAKA
330 N D ST STE 429
SAN BERNARDINO, CA 92401-1522
Phone number: 909-206-4830
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Mailing Address
MICAH TASAKA
330 N D ST STE 429
SAN BERNARDINO, CA 92401-1522
Phone number: 909-206-4830
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