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1346782349
KHANH PHUNG
AURORA, CO
NPI
1346782349
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Other Name
KHANH TRIEU PHUNG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
-- KHANH PHUNG
1537 ALTON ST
AURORA, CO 80010-1712
Phone number: 303-923-2920
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Mailing Address
-- KHANH PHUNG
1537 ALTON ST
AURORA, CO 80010-1712
Phone number: 303-923-2920
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