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1689427403
BOONDARIK SANDY PHUENGSOMBOONYING
ROCHESTER, MI
NPI
1689427403
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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
2024-04-10
Last Update Date
2024-04-10
Business Address
BOONDARIK SANDY PHUENGSOMBOONYING MD
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307-1886
Phone number: 248-650-6301
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Mailing Address
BOONDARIK SANDY PHUENGSOMBOONYING MD
11315 ELMHURST DR
NORWALK, CA 90650-6907
Phone number:
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