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1649468695
JACQUELINE TAK
GARDENA, CA
NPI
1649468695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- JACQUELINE TAK
14112 S KINGSLEY DR
GARDENA, CA 90249-3018
Phone number: 310-217-7331
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Mailing Address
-- JACQUELINE TAK
11178 WESTMINSTER AVE APT F
LOS ANGELES, CA 90034-6518
Phone number:
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