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1659723104
BOONPHIPHOP BOONPHENG
COOKEVILLE, TN
NPI
1659723104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: TN 64918)
Enumeration Date
2016-07-08
Last Update Date
2022-09-22
Business Address
BOONPHIPHOP BOONPHENG M.D.
117 N HICKORY AVE STE 200
COOKEVILLE, TN 38501-2424
Phone number: 931-646-0880
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Mailing Address
BOONPHIPHOP BOONPHENG M.D.
117 N HICKORY AVE STE 200
COOKEVILLE, TN 38501-2424
Phone number: 931-646-0880
Copy
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