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1518158047
CHANUWAT M. SUNTALUS
CLAREMONT, CA
NPI
1518158047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17843)
Enumeration Date
2007-08-08
Last Update Date
2022-07-15
Business Address
CHANUWAT M. SUNTALUS PA-C
1601 MONTE VISTA AVE STE 190
CLAREMONT, CA 91711-6600
Phone number: 909-865-9977
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Mailing Address
CHANUWAT M. SUNTALUS PA-C
1601 MONTE VISTA AVE STE 190
CLAREMONT, CA 91711-6600
Phone number: 626-617-9166
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