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Individual

MS. CHHORN HOUN PHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
22978 BUTTERFIELD DR NW, SAINT FRANCIS, MN 55070-7710
(763) 230-9248
Mailing address
1200 167TH AVE NW, ANDOVER, MN 55304-2854
(651) 528-3713

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13249
MN
225400000X
Rehabilitation Practitioner
WA
363A00000X
Physician Assistant
Primary
13249
MN

Other

Enumeration date
03/28/2020
Last updated
07/18/2025
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