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1245970326
MATTANA PHAYUNGPONG
CORPUS CHRISTI, TX
NPI
1245970326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-04-03
Business Address
MATTANA PHAYUNGPONG MD
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78405-1833
Phone number: 361-902-4789
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Mailing Address
MATTANA PHAYUNGPONG MD
2606 HOSPITAL BLVD STE B
CORPUS CHRISTI, TX 78405-1804
Phone number: 361-902-4789
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