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1316404007
ANNIE TAK
IRVINE, CA
NPI
1316404007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011267)
Enumeration Date
2019-02-28
Last Update Date
2021-02-16
Business Address
ANNIE TAK
4 HUGHES STE 150
IRVINE, CA 92618-2044
Phone number: 949-768-6780
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Mailing Address
ANNIE TAK
124 MESSENGER
IRVINE, CA 92618-1335
Phone number: 949-351-3795
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