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1497061071
TAM LY
GARDENA, CA
NPI
1497061071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA D8892587)
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
-- TAM LY
14112 S KINGSLEY DR
GARDENA, CA 90249-3018
Phone number: 310-217-7312
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Mailing Address
-- TAM LY
15317 SANTA GERTRUDES AVE UNIT JJ103
LA MIRADA, CA 90638-5088
Phone number: 714-204-2961
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