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1699468439
ETHAN LUMONGSUD
DALLAS, TX
NPI
1699468439
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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
2023-05-29
Last Update Date
2023-05-29
Business Address
ETHAN LUMONGSUD
5323 HARRY HINES BLVD
DALLAS, TX 75390-9006
Phone number: 214-648-2168
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Mailing Address
ETHAN LUMONGSUD
5323 HARRY HINES BLVD
DALLAS, TX 75390-9006
Phone number: 214-648-2168
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