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1023038353
THAVATCHAI CHAMNONGCHAREONWONG
MONTGOMERY, AL
NPI
1023038353
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Professional Name
CHAI CHAMNONG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL D0625)
Enumeration Date
2006-07-20
Last Update Date
2015-09-23
Business Address
-- THAVATCHAI CHAMNONGCHAREONWONG DO
8300 CROSSLAND LOOP
MONTGOMERY, AL 36117-8482
Phone number: 334-239-8939
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Mailing Address
-- THAVATCHAI CHAMNONGCHAREONWONG DO
PO BOX 242848
MONTGOMERY, AL 36124-2848
Phone number: 334-270-9914
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