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1396117602
GA HYUN TAE
COSTA MESA, CA
NPI
1396117602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 96308)
Enumeration Date
2015-10-26
Last Update Date
2021-09-07
Business Address
GA HYUN TAE
275 BAKER ST
COSTA MESA, CA 92626-4566
Phone number: 714-631-6760
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Mailing Address
GA HYUN TAE
275 BAKER ST
COSTA MESA, CA 92626-4566
Phone number: 714-361-6760
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