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1700639630
ALLEN TANG THACH
CHULA VISTA, CA
NPI
1700639630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-10
Last Update Date
2024-04-25
Business Address
ALLEN TANG THACH
1196 3RD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
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Mailing Address
ALLEN TANG THACH
1196 THIRD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
Copy
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