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1871179655
KENNY EKACHAI VONGBUNYONG
ORANGE, CA
NPI
1871179655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
KENNY EKACHAI VONGBUNYONG
101 THE CITY DR S STE 40
ORANGE, CA 92868-3201
Phone number: 714-456-5691
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Mailing Address
KENNY EKACHAI VONGBUNYONG
6138 WHITEWOOD AVE
LAKEWOOD, CA 90712-1243
Phone number:
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