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1356938211
KIA THAO
FRESNO, CA
NPI
1356938211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95046474)
Enumeration Date
2020-12-27
Last Update Date
2020-12-27
Business Address
KIA THAO RN
1303 E HERNDON AVE
FRESNO, CA 93720-3309
Phone number: 559-288-5270
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Mailing Address
KIA THAO RN
3456 SMITH LN
CLOVIS, CA 93619-4312
Phone number: 559-288-5270
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