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1841913852
MONTY VYRAT SIPHANH
FRESNO, CA
NPI
1841913852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN720502)
Enumeration Date
2022-09-23
Last Update Date
2023-11-21
Business Address
MONTY VYRAT SIPHANH
3636 N 1ST ST STE 162, 124, 112
FRESNO, CA 93726-6869
Phone number: 559-476-2166
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Mailing Address
MONTY VYRAT SIPHANH
3636 N 1ST ST STE 162
FRESNO, CA 93726-6869
Phone number: 559-476-2166
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