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1306488002
GRACE TAM
COSTA MESA, CA
NPI
1306488002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
GRACE TAM
1111 BAKER ST
COSTA MESA, CA 92626-4138
Phone number: 949-910-6767
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Mailing Address
GRACE TAM
2511 CORINTH AVE
LOS ANGELES, CA 90064-3013
Phone number: 310-597-0161
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