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1699314781
EDWARD HENRY TAVE
LYNWOOD, CA
NPI
1699314781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
EDWARD HENRY TAVE
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
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Mailing Address
EDWARD HENRY TAVE
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
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