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1639802135
KENG MOUA
OLYMPIA, WA
NPI
1639802135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-03
Last Update Date
2025-02-20
Business Address
KENG MOUA PA-C
615 LILLY RD NE STE 100
OLYMPIA, WA 98506-5117
Phone number: 360-491-4211
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Mailing Address
KENG MOUA PA-C
PO BOX 368
OLYMPIA, WA 98507-0368
Phone number: 360-491-8439
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