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NATHAN SHAWN THEPHAVONGSA
Marriage & Family Therapist
NPI: 1912630450Individual
Specialties, Licenses & Credentials
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Contact & Hours
- Address
- 100 FOLSOM PRISON RD
REPRESA, CA 95671 - Phone
- (916) 985-8610
Quick Facts
- NPI
- 1912630450
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 3
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