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1376232942
AMELIA FATANI TAVAKE
PALMDALE, CA
NPI
1376232942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-01
Last Update Date
2023-07-12
Business Address
AMELIA FATANI TAVAKE
40015 SIERRA HWY SUITE B280
PALMDALE, CA 93550
Phone number: 661-480-6337
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Mailing Address
AMELIA FATANI TAVAKE
40015 SIERRA HWY SUITE B280
PALMDALE, CA 93550
Phone number: 661-480-6337
Copy
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