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1922716588
LAMTHONG PHOMMANIRAJ
FARMINGTON HILLS, MI
NPI
1922716588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703124400)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
LAMTHONG PHOMMANIRAJ
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-266-1475
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Mailing Address
LAMTHONG PHOMMANIRAJ
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-266-1475
Copy
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