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1235331141
VIENGSOUK PHOMMACHANH
SARASOTA, FL
NPI
1235331141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: FL ME98812)
Enumeration Date
2007-06-03
Last Update Date
2021-10-28
Business Address
Dr. VIENGSOUK PHOMMACHANH M.D.
2401 UNIVERSITY PKWY STE 102
SARASOTA, FL 34243-2894
Phone number: 941-355-2767
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Mailing Address
Dr. VIENGSOUK PHOMMACHANH M.D.
2401 UNIVERSITY PKWY STE 102
SARASOTA, FL 34243-2894
Phone number: 941-355-2767
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