WUTHISAK SOONATTRAKUL

KENNETT, MO
NPI1366430340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  34105)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
-- WUTHISAK SOONATTRAKUL
105 E WASHINGTON ST
KENNETT, MO 63857-2041
Phone number: 573-888-1137
Mailing Address
-- WUTHISAK SOONATTRAKUL
105 E WASHINGTON ST
KENNETT, MO 63857-2041
Phone number: 573-888-1137
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