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1720022965
THAVINSAKDI VIRAVATHANA
HEMET, CA
NPI
1720022965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0203X Radiology, Therapeutic Radiology
(Licence: CA A34942)
Enumeration Date
2006-06-16
Last Update Date
2013-02-28
Business Address
-- THAVINSAKDI VIRAVATHANA M.D.
890 W STETSON AVE STE B APEX RADIOLOGY MEDICAL GROUP, INC.
HEMET, CA 92543-7311
Phone number: 951-537-6002
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Mailing Address
-- THAVINSAKDI VIRAVATHANA M.D.
890 W STETSON AVE STE B
HEMET, CA 92543-7311
Phone number: 951-537-6002
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