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1285955278
THAWAT EOSAKUL,M.D.INC.
FONTANA, CA
NPI
1285955278
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Entity Type
Organization
Authorized Contact
THAWAT EOSAKUL
President
909-350-3091
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA A32349)
Enumeration Date
2010-06-14
Last Update Date
2010-06-14
Business Address
THAWAT EOSAKUL,M.D.INC.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
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Mailing Address
THAWAT EOSAKUL,M.D.INC.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
Copy
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