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1740975309
MALAYTHONG BOUAPHAKEO
DES MOINES, IA
NPI
1740975309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 117565)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
MALAYTHONG BOUAPHAKEO
2708 GRAND AVE
DES MOINES, IA 50312-5218
Phone number: 515-988-3620
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Mailing Address
MALAYTHONG BOUAPHAKEO
2708 GRAND AVE
DES MOINES, IA 50312-5218
Phone number:
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