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1114080371
PAKORN URUSOPONE
INDIANAPOLIS, IN
NPI
1114080371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01051441A)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
DR. PAKORN URUSOPONE M.D.
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2475
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Mailing Address
DR. PAKORN URUSOPONE M.D.
7138 CHESTERTON LN
INDIANAPOLIS, IN 46237-8308
Phone number: 317-865-8944
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