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1588042527
DANTERA TANGPISUTHIPONGSA
GREENWOOD, SC
NPI
1588042527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- DANTERA TANGPISUTHIPONGSA MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4869
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Mailing Address
-- DANTERA TANGPISUTHIPONGSA MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4869
Copy
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