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1336827104
PANISARA FANGSAARD
COOPERSTOWN, NY
NPI
1336827104
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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
2023-07-10
Last Update Date
2023-07-10
Business Address
PANISARA FANGSAARD
1 ATWELL STREET OFFICE OF MEDICAL EDUCATION
COOPERSTOWN, NY 13326
Phone number: 607-547-3456
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Mailing Address
PANISARA FANGSAARD
25 CHESTNUT STREET SOUTH APARTMENT
COOPERSTOWN, NY 13326
Phone number: 518-258-7824
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