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1154367043
OUEN PONGDEE
MIDDLESBORO, KY
NPI
1154367043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: KY 17332)
Enumeration Date
2006-06-21
Last Update Date
2011-01-31
Business Address
OUEN PONGDEE MD PSC INC
3600 W. CUMBERLAND AVE
MIDDLESBORO, KY 40965-2614
Phone number: 606-242-1428
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Mailing Address
OUEN PONGDEE MD PSC INC
PO BOX 177
MIDDLESBORO, KY 40965-0177
Phone number: 606-248-1320
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