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1851760763
SISAMOUTH SIPASEUTH THOMURE
SAN JOSE, CA
NPI
1851760763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 231848)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- SISAMOUTH SIPASEUTH THOMURE LVN
650 S 5TH ST
SAN JOSE, CA 95112-5636
Phone number: 408-982-5779
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Mailing Address
-- SISAMOUTH SIPASEUTH THOMURE LVN
1400 BOWE AVE APT 703
SANTA CLARA, CA 95051-3834
Phone number: 559-740-6019
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