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1568657807
CHAREUNPHONE T INTHIRAT
JONESBORO, GA
NPI
1568657807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN013619)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Dr. CHAREUNPHONE T INTHIRAT DMD
405 ARROWHEAD BLVD
JONESBORO, GA 30236-1254
Phone number: 404-545-1769
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Mailing Address
Dr. CHAREUNPHONE T INTHIRAT DMD
405 ARROWHEAD BLVD
JONESBORO, GA 30236-1254
Phone number: 404-545-1769
Copy
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