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1801238167
HOUMPHENG BANOUVONG
SAN FRANCISCO, CA
NPI
1801238167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-26
Last Update Date
2013-07-26
Business Address
Mr. HOUMPHENG BANOUVONG
1001 POTRERO AVE SFGH WARD 94
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8524
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Mailing Address
Mr. HOUMPHENG BANOUVONG
1001 POTRERO AVE SFGH WARD 94
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8524
Copy
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