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1427721448
JUTHIPONG BENJANUWATTRA
LUBBOCK, TX
NPI
1427721448
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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
2021-07-27
Last Update Date
2021-07-27
Business Address
JUTHIPONG BENJANUWATTRA MD
602 INDIANA AVE
LUBBOCK, TX 79415-3364
Phone number: 806-775-8200
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Mailing Address
JUTHIPONG BENJANUWATTRA MD
5202 AUBURN ST APT 522
LUBBOCK, TX 79416-1462
Phone number: 806-319-0645
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