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1639177462
TAMSAK KANOKLUKUL
WACO, TX
NPI
1639177462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 560268)
Enumeration Date
2005-07-14
Last Update Date
2020-11-16
Business Address
TAMSAK KANOKLUKUL CRNA
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-5800
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Mailing Address
TAMSAK KANOKLUKUL CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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