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1629749056
KRISTEN MARA TAIT
LOS ANGELES, CA
NPI
1629749056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95017307)
Enumeration Date
2021-09-24
Last Update Date
2022-01-10
Business Address
Ms. KRISTEN MARA TAIT AGACNP-BC
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-8358
Phone number: 310-825-9111
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Mailing Address
Ms. KRISTEN MARA TAIT AGACNP-BC
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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