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1740475094
KHAMSAVAT MANEEVORN
RICHMOND, CA
NPI
1740475094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
-- KHAMSAVAT MANEEVORN
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
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Mailing Address
-- KHAMSAVAT MANEEVORN
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
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