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1962251314
AENOI KINNAVONGSA
OGDEN, UT
NPI
1962251314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
AENOI KINNAVONGSA
1456 CAPITOL ST
OGDEN, UT 84401-2910
Phone number: 801-604-1674
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Mailing Address
AENOI KINNAVONGSA
1456 CAPITOL ST
OGDEN, UT 84401-2910
Phone number: 801-604-1674
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