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1598446262
PITCHAYA PEARL KHONGKHANGAM
CHENEY, WA
NPI
1598446262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
PITCHAYA PEARL KHONGKHANGAM
200 PHYSICAL EDUCATION CLASSROOM
CHENEY, WA 99004-9900
Phone number: 509-359-2427
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Mailing Address
PITCHAYA PEARL KHONGKHANGAM
210 SIMPSON PKWY APT 222
CHENEY, WA 99004-5003
Phone number: 253-391-9994
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