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1407442502
KEVIN JAMES TAN
WESTLAKE VILLAGE, CA
NPI
1407442502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 21634)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
KEVIN JAMES TAN
31248 OAK CREST DR STE 120
WESTLAKE VILLAGE, CA 91361-5673
Phone number: 818-538-5880
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Mailing Address
KEVIN JAMES TAN
4713 AMBRUZZI DR
CYPRESS, CA 90630-3530
Phone number: 714-943-5351
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