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1194038067
PON TRAIRATVORAKUL
MOBILE, AL
NPI
1194038067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-07-21
Last Update Date
2010-07-21
Business Address
Dr. PON TRAIRATVORAKUL M.D.
1504 SPRINGHILL AVE CHILDREN'S MEDICAL CENTER
MOBILE, AL 36604-3207
Phone number: 251-434-3915
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Mailing Address
Dr. PON TRAIRATVORAKUL M.D.
1700 CENTER ST PEDIATRIC RESIDENCY PROGRAM
MOBILE, AL 36604-3301
Phone number: 251-415-1087
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