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1780746537
VILLA PHANVONG
FRESNO, CA
NPI
1780746537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
VILLA PHANVONG
2171 N FINE AVE
FRESNO, CA 93727-1519
Phone number: 559-455-2100
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Mailing Address
VILLA PHANVONG
2171 N FINE AVE
FRESNO, CA 93727-1519
Phone number:
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