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1174672653
RONACHAI BANCHONGMANIE
LOUISVILLE, KY
NPI
1174672653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: KY 17611)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- RONACHAI BANCHONGMANIE M.D.
5341 MITSCHER AVE
LOUISVILLE, KY 40214-2633
Phone number: 502-375-4900
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Mailing Address
-- RONACHAI BANCHONGMANIE M.D.
DEPT 8241
CAROL STREAM, IL 60122-8241
Phone number: 866-286-9915
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