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1730788787
JOHNNY KHAMPHOUSENG
FORT WORTH, TX
NPI
1730788787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
JOHNNY KHAMPHOUSENG LMT
11100 MONICA CT
FORT WORTH, TX 76244-7434
Phone number: 682-247-6075
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Mailing Address
JOHNNY KHAMPHOUSENG LMT
11100 MONICA CT
FORT WORTH, TX 76244-7434
Phone number:
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