PROMPORN JUNE SUWANABOL

WATERTOWN, WI
NPI1710395058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WI  3398-23)
Enumeration Date2014-07-30
Last Update Date2014-12-16
Business Address
PROMPORN JUNE SUWANABOL
123 HOSPITAL DR SUITE 2009
WATERTOWN, WI 53098-3331
Phone number: 920-262-9833
Mailing Address
PROMPORN JUNE SUWANABOL
123 HOSPITAL DR SUITE 2009
WATERTOWN, WI 53098-3331
Phone number: 920-262-9833
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