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1124791322
SONNARINH KHAMVONGSA
BOWLING GREEN, KY
NPI
1124791322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3015529)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
SONNARINH KHAMVONGSA APRN
1325 ANDREA ST
BOWLING GREEN, KY 42104-5852
Phone number: 270-783-3323
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Mailing Address
SONNARINH KHAMVONGSA APRN
201 PARK ST
BOWLING GREEN, KY 42101-1708
Phone number: 270-781-5111
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