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1740703974
PHANNY HOEUM
COSTA MESA, CA
NPI
1740703974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 690114)
Enumeration Date
2017-07-19
Last Update Date
2021-10-04
Business Address
PHANNY HOEUM LVN
3540 HOWARD WAY STE 150
COSTA MESA, CA 92626-1496
Phone number: 949-626-9227
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Mailing Address
PHANNY HOEUM LVN
3055 W ORANGE AVE STE 105
ANAHEIM, CA 92804-3152
Phone number: 714-638-8277
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