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1114031721
PHACHARAWUT KANCHANANAKHIN
DAVIS, CA
NPI
1114031721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A91630)
Enumeration Date
2006-08-19
Last Update Date
2016-10-04
Business Address
Dr. PHACHARAWUT KANCHANANAKHIN MD
1712 PICASSO AVE SUITE D
DAVIS, CA 95618-0546
Phone number: 916-576-7898
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Mailing Address
Dr. PHACHARAWUT KANCHANANAKHIN MD
5040 WOODSPRING CT SUITE 160
GRANITE BAY, CA 95746-8838
Phone number: 916-576-7898
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