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1821621723
SOUA THAO
FRESNO, CA
NPI
1821621723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 707257)
Enumeration Date
2020-02-19
Last Update Date
2024-12-10
Business Address
SOUA THAO
3115 N MILLBROOK AVE
FRESNO, CA 93703-1425
Phone number: 559-600-2382
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Mailing Address
SOUA THAO
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number:
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