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1255156626
NATTANICHA WATTANANIMITGUL
MAYWOOD, IL
NPI
1255156626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
NATTANICHA WATTANANIMITGUL
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-7766
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Mailing Address
NATTANICHA WATTANANIMITGUL
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number:
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