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1184695934
SOROS TUNGSIRIPAT
KENNETT, MO
NPI
1184695934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MO R1B02)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- SOROS TUNGSIRIPAT M.D.
604 TEACO RD
KENNETT, MO 63857-3724
Phone number: 573-888-9281
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Mailing Address
-- SOROS TUNGSIRIPAT M.D.
604 TEACO RD
KENNETT, MO 63857-3724
Phone number: 573-888-9281
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