PHANTAPHONE KHAMPHOUMY

SALT LAKE CITY, UT
NPI1235698606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-03-15
Last Update Date2019-03-15
Business Address
PHANTAPHONE KHAMPHOUMY
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
Mailing Address
PHANTAPHONE KHAMPHOUMY
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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