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1811013352
XONG MOUA
FRESNO, CA
NPI
1811013352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- XONG MOUA
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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Mailing Address
-- XONG MOUA
396 N MARION AVE
FRESNO, CA 93727-3429
Phone number: 559-266-9581
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