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1669825675
ICARUS KWOK TSANG
BERKELEY, CA
NPI
1669825675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- ICARUS KWOK TSANG
1623 VIRGINIA ST
BERKELEY, CA 94703-1233
Phone number: 415-988-1482
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Mailing Address
-- ICARUS KWOK TSANG
1623 VIRGINIA ST
BERKELEY, CA 94703-1233
Phone number: 415-988-1482
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