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1538848981
AMPAPONE KHAMSANA VONGSIPRASOM
ALLEGAN, MI
NPI
1538848981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202008743)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
AMPAPONE KHAMSANA VONGSIPRASOM COTA
3265 122ND AVE
ALLEGAN, MI 49010-9511
Phone number: 616-848-9857
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Mailing Address
AMPAPONE KHAMSANA VONGSIPRASOM COTA
3265 122ND AVE
ALLEGAN, MI 49010-9511
Phone number: 616-848-9857
Copy
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