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1366682023
PHENG THAO
FRESNO, CA
NPI
1366682023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA D7036245)
Enumeration Date
2009-02-20
Last Update Date
2009-02-20
Business Address
-- PHENG THAO
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
-- PHENG THAO
10586 E NORTH AVE
SANGER, CA 93657-9719
Phone number: 559-579-4151
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