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1215168778
ONCHANH BOUNSAVANG
SAINT PAUL, MN
NPI
1215168778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MN e035090447608)
Enumeration Date
2009-08-01
Last Update Date
2009-08-01
Business Address
-- ONCHANH BOUNSAVANG
379 UNIVERSITY AVE W STE 214
SAINT PAUL, MN 55103-2060
Phone number: 651-665-0226
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Mailing Address
-- ONCHANH BOUNSAVANG
379 UNIVERSITY AVE W STE 214
SAINT PAUL, MN 55103-2060
Phone number: 651-665-0226
Copy
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