BOB KEOPHAKDY

CHARLESTON, SC
NPI1124797410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2021-09-09
Last Update Date2025-12-03
Business Address
BOB KEOPHAKDY IDMT
204 W HILL BLVD
CHARLESTON, SC 29404-4704
Phone number: 843-963-6880
Mailing Address
BOB KEOPHAKDY IDMT
PSC 62 BOX 7002
APO, AE 09643-0071
Phone number: 314-722-8069
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