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1154972412
POUTISAK SMOKY RITH
FRESNO, CA
NPI
1154972412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
POUTISAK SMOKY RITH
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
POUTISAK SMOKY RITH
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
Copy
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