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1427050251
SURICHYA SURATTANONT
BRADENTON, FL
NPI
1427050251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME0073236)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
-- SURICHYA SURATTANONT MD
3950 E STATE ROAD 64
BRADENTON, FL 34208-9059
Phone number: 941-708-5054
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Mailing Address
-- SURICHYA SURATTANONT MD
3950 E STATE ROAD 64
BRADENTON, FL 34208-9059
Phone number: 941-708-5054
Copy
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