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1508598533
CONNIE LARISSA TATE
PASADENA, CA
NPI
1508598533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
CONNIE LARISSA TATE
447 N EL MOLINO AVE
PASADENA, CA 91101-1403
Phone number: 626-577-8480
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Mailing Address
CONNIE LARISSA TATE
447 N EL MOLINO AVE
PASADENA, CA 91101-1403
Phone number: 626-577-8480
Copy
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