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1144674003
JOHN THANASUKARN
LOMA LINDA, CA
NPI
1144674003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A156685)
Enumeration Date
2016-04-18
Last Update Date
2020-07-02
Business Address
JOHN THANASUKARN M.D.
25845 BARTON RD
LOMA LINDA, CA 92354-3899
Phone number: 909-558-2828
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Mailing Address
JOHN THANASUKARN M.D.
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 096-514-3009
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