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1417523424
PHALA HOEUN
BRONX, NY
NPI
1417523424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: DE CPO03567)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
PHALA HOEUN CPO
130 W KINGSBRIDGE RD DEPT 3E-15
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
PHALA HOEUN CPO
8240 AUSTIN ST APT 2K
KEW GARDENS, NY 11415-1416
Phone number:
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