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1356466270
KHAMMANY SOUTHAMMAVONG
RICHMOND, VA
NPI
1356466270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618001556)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. KHAMMANY SOUTHAMMAVONG O.D.
1420 PARHAM RD
RICHMOND, VA 23229
Phone number: 804-741-8901
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Mailing Address
Dr. KHAMMANY SOUTHAMMAVONG O.D.
4082 TRISHA TRL
MIDLOTHIAN, VA 23112-3460
Phone number: 804-405-6401
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