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1609027853
PHANNO KHEM
STOCKTON, CA
NPI
1609027853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
Mr. PHANNO KHEM
3830 ALVARADO AVE STE. C
STOCKTON, CA 95204-2330
Phone number: 209-944-1700
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Mailing Address
Mr. PHANNO KHEM
2348 GARETH CIR
STOCKTON, CA 95210-3485
Phone number: 209-684-3394
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