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1376656116
NIRANDON WONGSURAWAT
FENTON, MO
NPI
1376656116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MO MD34919)
Enumeration Date
2006-08-16
Last Update Date
2010-06-29
Business Address
Dr. NIRANDON WONGSURAWAT MD
1015 BOWLES AVE
FENTON, MO 63026-1530
Phone number: 636-566-8155
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Mailing Address
Dr. NIRANDON WONGSURAWAT MD
1015 BOWLES AVE
FENTON, MO 63026-1530
Phone number: 636-566-8155
Copy
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