AENOI KINNAVONGSA

OGDEN, UT
NPI1962251314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
AENOI KINNAVONGSA
1456 CAPITOL ST
OGDEN, UT 84401-2910
Phone number: 801-604-1674
Mailing Address
AENOI KINNAVONGSA
1456 CAPITOL ST
OGDEN, UT 84401-2910
Phone number: 801-604-1674
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