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1487765863
THANA KRISDAKUMTORN
PALO ALTO, CA
NPI
1487765863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0000X Podiatrist, Sports Medicine
(Licence: CA E4241)
Enumeration Date
2006-08-31
Last Update Date
2020-03-04
Business Address
THANA KRISDAKUMTORN DPM
795 EL CAMINO REAL
PALO ALTO, CA 94301-2302
Phone number: 650-330-4529
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Mailing Address
THANA KRISDAKUMTORN DPM
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 650-853-2986
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