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1609037878
ORNSUDA LERTBANNAPHONG
CHICAGO, IL
NPI
1609037878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-06-20
Last Update Date
2008-06-20
Business Address
Miss ORNSUDA LERTBANNAPHONG MD
1740 W TAYLOR
CHICAGO, IL 60612
Phone number: 860-600-2273
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Mailing Address
Miss ORNSUDA LERTBANNAPHONG MD
903 S ASHLAND AVE 805B
CHICAGO, IL 60607
Phone number: 312-929-8495
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