LYSSA KHAM VANG

NEW BERLIN, WI
NPI1467514190
Other NameKHAM KEO XIONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4120-026)
Enumeration Date2006-12-16
Last Update Date2007-07-08
Business Address
Mrs. LYSSA KHAM VANG MS, OTR
2895 S MOORLAND RD
NEW BERLIN, WI 53151-3743
Phone number: 262-782-0961
Mailing Address
Mrs. LYSSA KHAM VANG MS, OTR
2806 S 48TH ST
MILWAUKEE, WI 53219-3301
Phone number: 414-329-8462
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