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1487820429
IVANDITO KUNTJORO
HOUSTON, TX
NPI
1487820429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 57012187)
Enumeration Date
2008-04-30
Last Update Date
2009-12-08
Business Address
-- IVANDITO KUNTJORO M.D.
9000 ALMEDA ROAD 1102
HOUSTON, TX 77054
Phone number: 713-492-7218
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Mailing Address
-- IVANDITO KUNTJORO M.D.
9000 ALMEDA RD 1102
HOUSTON, TX 77054-4300
Phone number: 713-492-7218
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