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1487764882
BOBBY VITAYA ENKVETCHAKUL
WASHINGTON, MO
NPI
1487764882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QX0100X Clinic/Center, Occupational Medicine
(Licence: MO MD113081 MO)
Enumeration Date
2006-08-30
Last Update Date
2024-02-21
Business Address
BOBBY VITAYA ENKVETCHAKUL MD
1 W 12TH ST
WASHINGTON, MO 63090-4416
Phone number: 636-239-0735
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Mailing Address
BOBBY VITAYA ENKVETCHAKUL MD
PO BOX 1275
WASHINGTON, MO 63090-8275
Phone number: 636-239-0735
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