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1396027900
CARISSA KEYAN CHANG
GARDENA, CA
NPI
1396027900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
Ms. CARISSA KEYAN CHANG
14112 S KINGSLEY DR
GARDENA, CA 90249-3018
Phone number: 310-217-7312
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Mailing Address
Ms. CARISSA KEYAN CHANG
1028 12TH ST APT 6
SANTA MONICA, CA 90403-4220
Phone number:
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