KELLY PHOUNGPHOL

MILWAUKEE, WI
NPI1326462003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-02-14
Last Update Date2014-02-14
Business Address
-- KELLY PHOUNGPHOL
820 N PLANKINTON AVE
MILWAUKEE, WI 53203-1802
Phone number: 414-225-1573
Mailing Address
-- KELLY PHOUNGPHOL
820 N PLANKINTON AVE
MILWAUKEE, WI 53203-1802
Phone number: 414-225-1573
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