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1821780552
JONATHAN THE TAI DIEP
DOWNEY, CA
NPI
1821780552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-22
Last Update Date
2023-09-28
Business Address
JONATHAN THE TAI DIEP
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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Mailing Address
JONATHAN THE TAI DIEP
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
Copy
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