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 Date2021-09-09
Business Address
BOB KEOPHAKDY IDMT
204 W HILL BLVD
CHARLESTON, SC 29404-4704
Phone number: 843-963-6880
Mailing Address
BOB KEOPHAKDY IDMT
17470 CRESCENT ST UNIT 201
GRAND HAVEN, MI 49417-7631
Phone number:
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