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1568290641
KENN NICHOLAS UNGAB TALAID
SAN JOSE, CA
NPI
1568290641
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41801)
Enumeration Date
2024-07-22
Last Update Date
2024-07-26
Business Address
KENN NICHOLAS UNGAB TALAID
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-261-7777
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Mailing Address
KENN NICHOLAS UNGAB TALAID
1922 THE ALAMEDA
SAN JOSE, CA 95126-1457
Phone number: 209-594-7259
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