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1255746178
SUTHANYA SORNPROM
COOPERSTOWN, NY
NPI
1255746178
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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
2014-06-30
Last Update Date
2014-06-30
Business Address
-- SUTHANYA SORNPROM
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3456
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Mailing Address
-- SUTHANYA SORNPROM
PO BOX 725
COOPERSTOWN, NY 13326-0725
Phone number: 607-547-3456
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