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1811009244
KONGMONG MOUA
FRESNO, CA
NPI
1811009244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 15640)
Enumeration Date
2006-08-31
Last Update Date
2011-12-09
Business Address
-- KONGMONG MOUA pa
4929 E KINGS CANYON RD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
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Mailing Address
-- KONGMONG MOUA pa
4929 E KINGS CANYON RD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
Copy
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