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1407633357
MARK VINCENT SYKI TAN
LOS ANGELES, CA
NPI
1407633357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
MARK VINCENT SYKI TAN
238 S RAMPART BLVD
LOS ANGELES, CA 90057-1404
Phone number: 626-684-0553
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Mailing Address
MARK VINCENT SYKI TAN
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-744-5242
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