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1629101241
PHOUVA INTHIRATH
FRESNO, CA
NPI
1629101241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- PHOUVA INTHIRATH aa
7080 N MARKS AVE STE 104
FRESNO, CA 93711-0288
Phone number: 559-248-8850
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Mailing Address
-- PHOUVA INTHIRATH aa
4173 E CLAY AVE
FRESNO, CA 93702-1327
Phone number: 559-341-5539
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