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1528544020
BRENDA PHEAKTRA HEM
FRESNO, CA
NPI
1528544020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
BRENDA PHEAKTRA HEM BS
2140 MERCED ST
FRESNO, CA 93721-1721
Phone number: 559-892-1125
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Mailing Address
BRENDA PHEAKTRA HEM BS
2314 S ADLER AVE
FRESNO, CA 93725-1232
Phone number: 559-288-1603
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