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1669298311
ALINA PHOUTTHAVONG
SAN DIEGO, CA
NPI
1669298311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95384183)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
ALINA PHOUTTHAVONG RN
4309 THIRD AVENUE
SAN DIEGO, CA 92103
Phone number: 619-876-4502
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Mailing Address
ALINA PHOUTTHAVONG RN
39299 CARDIFF AVE
MURRIETA, CA 92563-3801
Phone number: 951-795-8206
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