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1154151447
POUKPHANH SERENA PHOUNSAVATH
CLEVELAND, OH
NPI
1154151447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
POUKPHANH SERENA PHOUNSAVATH
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-234-2006
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Mailing Address
POUKPHANH SERENA PHOUNSAVATH
343 W BAGLEY RD
BEREA, OH 44017-1370
Phone number: 440-260-6835
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