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1124887468
TANNAM SEAN VONGVIVITPATANA
AURORA, CO
NPI
1124887468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
TANNAM SEAN VONGVIVITPATANA MD
12631 E 17TH AVE
AURORA, CO 80045-2527
Phone number: 303-724-1784
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Mailing Address
TANNAM SEAN VONGVIVITPATANA MD
12631 E 17TH AVE
AURORA, CO 80045-2527
Phone number: 303-724-1784
Copy
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