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1144700071
MANILATH VONGSAVATH
SAN DIEGO, CA
NPI
1144700071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: CA 25657)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
MANILATH VONGSAVATH RCP, RT
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5019
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Mailing Address
MANILATH VONGSAVATH RCP, RT
1145 CAMINO DEL REY
CHULA VISTA, CA 91910-7056
Phone number: 619-621-5311
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