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Individual
HOLDEN LAI
Active
Individual
HOLDEN LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SINGLE SUBJECT TEACH
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
101Y00000X
CA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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