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1083739601
VIRAPHONE PRAVONGVIENGKHAM
SANTA ANA, CA
NPI
1083739601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-03-20
Last Update Date
2008-08-17
Business Address
Ms. VIRAPHONE PRAVONGVIENGKHAM
1666 N MAIN ST STE 400
SANTA ANA, CA 92701-7417
Phone number: 714-704-5900
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Mailing Address
Ms. VIRAPHONE PRAVONGVIENGKHAM
1666 N MAIN ST STE 400
SANTA ANA, CA 92701-7417
Phone number: 714-704-5900
Copy
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