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1730315656
LAEMTHONG X PHAVIXAY
DAYTON, OH
NPI
1730315656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
Dr. LAEMTHONG X PHAVIXAY DPM
4100 W 3RD ST PODIATRY 112P
DAYTON, OH 45428-9000
Phone number: 937-268-6511
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Mailing Address
Dr. LAEMTHONG X PHAVIXAY DPM
4100 W 3RD ST PODIATRY 112P
DAYTON, OH 45428-9000
Phone number: 937-268-6511
Copy
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