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1447671078
SOUPHA CHANTHINOUVONG
ANN ARBOR, MI
NPI
1447671078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2013-12-27
Last Update Date
2013-12-27
Business Address
-- SOUPHA CHANTHINOUVONG
812 AVIS DR
ANN ARBOR, MI 48108-9649
Phone number: 734-213-3960
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Mailing Address
-- SOUPHA CHANTHINOUVONG
2223 LOS FELIZ DR APT 102
THOUSAND OAKS, CA 91362-3090
Phone number: 734-394-9536
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