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1700622123
TANATUCH TIRATRAKOONSEREE
SAINT LOUIS, MO
NPI
1700622123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2024019904)
Enumeration Date
2024-07-04
Last Update Date
2024-07-04
Business Address
TANATUCH TIRATRAKOONSEREE MD
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-853-1558
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Mailing Address
TANATUCH TIRATRAKOONSEREE MD
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Phone number: 314-454-6006
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