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1205099082
PORNTIP KIATSIMKUL
KENNEWICK, WA
NPI
1205099082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: FL ME132818)
Enumeration Date
2008-07-02
Last Update Date
2018-09-07
Business Address
PORNTIP KIATSIMKUL MD
521 N YOUNG ST
KENNEWICK, WA 99336
Phone number: 509-221-5980
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Mailing Address
PORNTIP KIATSIMKUL MD
521 N YOUNG ST
KENNEWICK, WA 99336-7806
Phone number: 509-221-5980
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