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1013138635
BENNY BOUNMY SRIPASERTH
VISALIA, CA
NPI
1013138635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- BENNY BOUNMY SRIPASERTH CASE MANAGER
546 E TULARE AVE
VISALIA, CA 93292
Phone number: 559-733-6215
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Mailing Address
-- BENNY BOUNMY SRIPASERTH CASE MANAGER
5957 S MOONEY BLVD
VISALIA, CA 93277
Phone number: 559-737-4669
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