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1003288564
KWONTA PHATIPHONG
POMONA, CA
NPI
1003288564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 96278)
Enumeration Date
2015-10-23
Last Update Date
2020-07-21
Business Address
KWONTA PHATIPHONG
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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Mailing Address
KWONTA PHATIPHONG
PO BOX 1764
CHINO HILLS, CA 91709-0059
Phone number: 909-671-9004
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