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1255587101
SOPHEA ONNA OUM
STOCKTON, CA
NPI
1255587101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-08-12
Last Update Date
2008-08-12
Business Address
-- SOPHEA ONNA OUM
4422 N PERSHING AVE
STOCKTON, CA 95207-6954
Phone number: 209-953-8864
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Mailing Address
-- SOPHEA ONNA OUM
4422 N PERSHING AVE
STOCKTON, CA 95207-6954
Phone number: 209-953-8864
Copy
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