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1982987640
VANNAK KONG
LOWELL, MA
NPI
1982987640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
Mr. VANNAK KONG BA
35 JOHN ST FL 1
LOWELL, MA 01852-1101
Phone number: 978-275-3879
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Mailing Address
Mr. VANNAK KONG BA
51 BLODGETT ST
LOWELL, MA 01851-4631
Phone number: 978-761-6815
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