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1174791248
VIPAPORN SERIBURI MILLARD
SILVER SPRING, MD
NPI
1174791248
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Former Name
VIPAPORN MILLARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003544)
Enumeration Date
2008-02-12
Last Update Date
2022-09-14
Business Address
VIPAPORN SERIBURI MILLARD PA-C
8206 GEORGIA AVE
SILVER SPRING, MD 20910-4519
Phone number: 301-960-4682
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Mailing Address
VIPAPORN SERIBURI MILLARD PA-C
2425 BEL PRE RD
SILVER SPRING, MD 20906-2309
Phone number: 410-960-9439
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