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1487249785
YVETTE BOUPHAVONG
FRESNO, CA
NPI
1487249785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN711009)
Enumeration Date
2021-03-08
Last Update Date
2021-03-10
Business Address
YVETTE BOUPHAVONG
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
YVETTE BOUPHAVONG
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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