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1750505061
BOUNMY - PINYASONE
FRESNO, CA
NPI
1750505061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15674)
Enumeration Date
2007-04-11
Last Update Date
2023-09-06
Business Address
Mr. BOUNMY - PINYASONE PA-C, MPAS
141 N. CLARK STREET SUITE A
FRESNO, CA 93701-2124
Phone number: 559-528-0565
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Mailing Address
Mr. BOUNMY - PINYASONE PA-C, MPAS
141 N. CLARK STREET SUITE A
FRESNO, CA 93701-2124
Phone number: 559-528-0565
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