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1760254890
MATHEW VONGTHARANGSY
FRESNO, CA
NPI
1760254890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 728201)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
MATHEW VONGTHARANGSY
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
MATHEW VONGTHARANGSY
5204 E GRANT AVE
FRESNO, CA 93727-3204
Phone number: 559-367-8006
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