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Johnathan Kham Sayaloune
Student in an Organized Health Care Education/Training Program in Gainesville, Georgia
NPI 1275237976

Johnathan Kham Sayaloune is a Student in an Organized Health Care Education/Training Program based in Gainesille, GA. Johnathan Kham Sayaloune practices in Gainesville, GA. The NPI Number for Johnathan Kham Sayaloune is 1275237976 and holds a License No. (Georgia).

The current practice location address for Johnathan Kham Sayaloune is 1439 Jesse Jewell, Gainesville, GA and can be reached out via phone at 770-219-9445.

Location: 1439 Jesse Jewell, Gainesville, GA, 30501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275237976
Provider Name
Johnathan Kham Sayaloune
Credential
Provider Entity Type
Individual
Gender
Male
Address
1439 Jesse Jewell, Gainesville, GA, 30501
Phone Number
770-219-9445
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1439 Jesse Jewell
City
Gainesville
State
Georgia
Zip
30501
Phone Number
770-219-9445
Fax Number
person
Provider Business Mailing Address Details
Address
1439 Jesse Jewell
City
Gainesville
State
Georgia
Zip
30501
Phone Number
770-219-9445
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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