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Individual
SOKHA PHE
Active
Individual
SOKHA PHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
646268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689695892
—
CA
Enumeration date
05/14/2013
Last updated
05/14/2013
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