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1447912829
KIATTIPOOM NANTANUKUL
WASHINGTON, DC
NPI
1447912829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2204000843)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
KIATTIPOOM NANTANUKUL
680 RHODE ISLAND AVE NE
WASHINGTON, DC 20002-1269
Phone number: 857-296-2354
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Mailing Address
KIATTIPOOM NANTANUKUL
680 RHODE ISLAND AVE NE APT 159B
WASHINGTON, DC 20002-1478
Phone number: 857-296-2354
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