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1619546751
PONGTAWAT LERTWILAIWITTAYA
BIRMINGHAM, AL
NPI
1619546751
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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
2021-06-23
Last Update Date
2021-06-23
Business Address
PONGTAWAT LERTWILAIWITTAYA MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-9666
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Mailing Address
PONGTAWAT LERTWILAIWITTAYA MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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