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1962121814
CHIA THAO
FRESNO, CA
NPI
1962121814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 697698)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
CHIA THAO lvn 697698
258 N BLACKSTONE AVE
FRESNO, CA 93701-1913
Phone number: 559-274-0299
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Mailing Address
CHIA THAO lvn 697698
565 GREENFIELD AVE
CLOVIS, CA 93611-6871
Phone number:
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