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1295865749
CHANTRAVUTH K PEL
BAKERSFIELD, CA
NPI
1295865749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 192537)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. CHANTRAVUTH K PEL LVN
17695 INDUSTRIAL FARM RD
BAKERSFIELD, CA 93308-9520
Phone number: 661-391-7948
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Mailing Address
Mr. CHANTRAVUTH K PEL LVN
PO BOX 1000
BAKERSFIELD, CA 93302-1000
Phone number: 661-391-7948
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