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1528614401
CONNIE TAN
OAKLAND, CA
NPI
1528614401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 273130)
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
CONNIE TAN
818 WEBSTER ST
OAKLAND, CA 94607-4220
Phone number: 510-986-6800
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Mailing Address
CONNIE TAN
2301 NORTHGATE AVE APT 303
OAKLAND, CA 94612-1782
Phone number: 510-282-7627
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