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1639206154
ARBHA VONGSVIVUT
ALTON, IL
NPI
1639206154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 036049730)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- ARBHA VONGSVIVUT MD
815 E 5TH ST SUITE 101
ALTON, IL 62002
Phone number: 618-462-0547
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Mailing Address
-- ARBHA VONGSVIVUT MD
815 E 5TH ST SUITE 101
ALTON, IL 62002
Phone number: 618-462-0547
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