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1316592587
TIEN NAM
SAN JOSE, CA
NPI
1316592587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSB94024784)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
TIEN NAM
441 PARK AVE
SAN JOSE, CA 95110-2615
Phone number: 408-287-2640
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Mailing Address
TIEN NAM
441 PARK AVE
SAN JOSE, CA 95110-2615
Phone number: 858-848-8472
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