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1023285970
VICKIE VIENKHONG AMKHAMAVONG
STOCKTON, CA
NPI
1023285970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2008-05-09
Last Update Date
2023-12-01
Business Address
VICKIE VIENKHONG AMKHAMAVONG
4410 N PERSHING AVE STE C1
STOCKTON, CA 95207-6960
Phone number: 209-323-5338
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Mailing Address
VICKIE VIENKHONG AMKHAMAVONG
4410 N. PERSHING AVE CL
STOCKTON, CA 95207
Phone number: 209-403-6789
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