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1306221387
DAVISNA OUM
LONG BEACH, CA
NPI
1306221387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- DAVISNA OUM
2201 E ANAHEIM ST 200
LONG BEACH, CA 90804-3411
Phone number: 562-433-2490
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Mailing Address
-- DAVISNA OUM
2065 LINDEN AVE
LONG BEACH, CA 90806-4919
Phone number:
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