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Chhoeuth Bou

Case Management in Fresno, CA. Individual provider (NPI-1).

NPI number1114173275
StatusActive
Last updated in NPPESAug 8, 2008

Details

NPI
1114173275
Entity type
Individual (NPI-1)
Name
Chhoeuth Bou
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2008
Last updated
Aug 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1100 Van Ness Ave
#804
Fresno, CA 93721-2016

Phone 559-488-3420 · Fax 559-262-4339

Mailing address

1100 Van Ness Ave
#804
Fresno, CA 93721-2016

Phone 559-488-3420 · Fax 559-262-4339

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