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1104911510
PORNTHIP CHALUNGSOOTH
FAYETTEVILLE, AR
NPI
1104911510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR P9307012)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
DR. PORNTHIP CHALUNGSOOTH L.P.C.
525 N. GARLAND AVE.
FAYETTEVILLE, AR 72701
Phone number: 479-575-5276
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Mailing Address
DR. PORNTHIP CHALUNGSOOTH L.P.C.
1005 E. ROLLING HILLS DR.
FAYETTEVILLE, AR 72703
Phone number: 479-582-1245
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