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1245832708
PISIWAT KONGSOMBOONVECH
INGLEWOOD, CA
NPI
1245832708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 83662)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
Dr. PISIWAT KONGSOMBOONVECH PharmD.
3471 W CENTURY BLVD
INGLEWOOD, CA 90303-1218
Phone number: 310-677-5937
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Mailing Address
Dr. PISIWAT KONGSOMBOONVECH PharmD.
3471 W CENTURY BLVD
INGLEWOOD, CA 90303-1218
Phone number: 310-677-5937
Copy
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