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1194593434
AMELIA VONGPHAIROTH
SAN ANDREAS, CA
NPI
1194593434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-15
Last Update Date
2024-01-05
Business Address
AMELIA VONGPHAIROTH
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6464
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Mailing Address
AMELIA VONGPHAIROTH
2239 WILLOW CREEK RD
SAN ANDREAS, CA 95249-9789
Phone number: 209-890-5567
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