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Individual
SONNARINH KHAMVONGSA
Active
Individual
SONNARINH KHAMVONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015529
KY
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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