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1821625864
TANYA KAVOUSSI
VENICE, CA
NPI
1821625864
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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
2020-03-26
Last Update Date
2020-03-26
Business Address
TANYA KAVOUSSI
323 LINCOLN BLVD
VENICE, CA 90291-2842
Phone number: 310-392-4103
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Mailing Address
TANYA KAVOUSSI
9854 FRANK RD
GERMANTOWN, TN 38139-8000
Phone number: 901-288-6299
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