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1306627260
LYSHAWN XATIY PHOMMAKHOTH
SACRAMENTO, CA
NPI
1306627260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64438)
Enumeration Date
2023-10-06
Last Update Date
2024-08-07
Business Address
LYSHAWN XATIY PHOMMAKHOTH
8120 TIMBERLAKE WAY STE 108
SACRAMENTO, CA 95823-5413
Phone number: 916-252-5000
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Mailing Address
LYSHAWN XATIY PHOMMAKHOTH
9534 KELLEY DR
STOCKTON, CA 95209-1578
Phone number: 209-487-3891
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