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1346657988
SUPAT THONGPOOSWAN
JAMAICA, NY
NPI
1346657988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
SUPAT THONGPOOSWAN
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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Mailing Address
SUPAT THONGPOOSWAN
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
Copy
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