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1528472172
PATARASIRI VIRUTAMAVONGSA
LOS ANGELES, CA
NPI
1528472172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
-- PATARASIRI VIRUTAMAVONGSA
1523 CORINTH AVE APT 5
LOS ANGELES, CA 90025-3292
Phone number: 310-977-8010
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Mailing Address
-- PATARASIRI VIRUTAMAVONGSA
1523 CORINTH AVE APT 5
LOS ANGELES, CA 90025-3292
Phone number: 310-977-8010
Copy
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