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1114691607
NATNICHA LEELAVIWAT
LUBBOCK, TX
NPI
1114691607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX BP10075601)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
Miss NATNICHA LEELAVIWAT MD
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-6840
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Mailing Address
Miss NATNICHA LEELAVIWAT MD
223 INDIANA AVE APT 3211
LUBBOCK, TX 79415-5369
Phone number: 806-787-6276
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