SOPHEAK NGUON

ESSEXVILLE, MI
NPI1932884301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351051887)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
SOPHEAK NGUON MD
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732-2151
Phone number: 989-895-4625
Mailing Address
SOPHEAK NGUON MD
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732-2151
Phone number: 989-895-4625
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