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1043777675
VIPHONSACK MARK KASEUMSOUK
TACOMA, WA
NPI
1043777675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
VIPHONSACK MARK KASEUMSOUK
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5800
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Mailing Address
VIPHONSACK MARK KASEUMSOUK
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number:
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