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1205329216
CHANAVUTH KANITSORAPHAN
HONOLULU, HI
NPI
1205329216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
CHANAVUTH KANITSORAPHAN MD
1356 LUSITANA ST STE 510
HONOLULU, HI 96813-2409
Phone number: 808-462-2776
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Mailing Address
CHANAVUTH KANITSORAPHAN MD
1356 LUSITANA ST STE 510
HONOLULU, HI 96813-2409
Phone number: 808-462-2776
Copy
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