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1629339403
VICTORY VICHEAVUTH HENG
LONG BEACH, CA
NPI
1629339403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- VICTORY VICHEAVUTH HENG
2201 E ANAHEIM ST
LONG BEACH, CA 90804-3411
Phone number: 562-433-2490
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Mailing Address
-- VICTORY VICHEAVUTH HENG
2201 E ANAHEIM ST
LONG BEACH, CA 90804-3411
Phone number: 562-433-2490
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