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1477877975
PHENGSY T KINGSAWAN
SAINT PAUL, MN
NPI
1477877975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
-- PHENGSY T KINGSAWAN
379 UNIVERSITY AVE W STE 214
SAINT PAUL, MN 55103-2060
Phone number: 651-665-0226
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Mailing Address
-- PHENGSY T KINGSAWAN
379 UNIVERSITY AVE W STE 214
ST. PAUL, MN 55103
Phone number:
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