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1366435075
MONGKOL MONGKOLPRADIT
SOUTHGATE, MI
NPI
1366435075
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Professional Name
MONGKOL MONG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI MM032063)
Enumeration Date
2005-08-27
Last Update Date
2007-07-09
Business Address
Dr. MONGKOL MONGKOLPRADIT M.D.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255
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Mailing Address
Dr. MONGKOL MONGKOLPRADIT M.D.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255
Copy
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