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1205527348
TAYVIN VIRATYOSIN
AURORA, IL
NPI
1205527348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125082279)
Enumeration Date
2023-05-18
Last Update Date
2024-05-17
Business Address
TAYVIN VIRATYOSIN MD
2000 OGDEN AVE
AURORA, IL 60504-7222
Phone number: 630-978-6200
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Mailing Address
TAYVIN VIRATYOSIN MD
11 RIVERVIEW DR
MORRIS, MN 56267-9475
Phone number:
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