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1912233248
MEGAN PHORNSAVANH
STOCKTON, CA
NPI
1912233248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 244990)
Enumeration Date
2009-10-21
Last Update Date
2023-06-26
Business Address
MEGAN PHORNSAVANH
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
MEGAN PHORNSAVANH
1535 CAPITOLA CIR
STOCKTON, CA 95206-5818
Phone number: 209-244-5825
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