AMJAD VONGSENGXAY

BRIGHAM CITY, UT
NPI1356762280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- AMJAD VONGSENGXAY
862 S MAIN ST SUITE # 4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
Mailing Address
-- AMJAD VONGSENGXAY
PO BOX 887
BRIGHAM CITY, UT 84302-0887
Phone number: 435-723-1799
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