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1740411305
KUNTEERA TARIN
CROWN POINT, IN
NPI
1740411305
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Former Name
KUNTEERA VACHIRASOMBOON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01064237A)
Enumeration Date
2009-07-30
Last Update Date
2019-03-25
Business Address
KUNTEERA TARIN MD
11275 DELAWARE PKWY
CROWN POINT, IN 46307-7812
Phone number: 219-779-8735
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Mailing Address
KUNTEERA TARIN MD
PO BOX 108
CROWN POINT, IN 46308-0108
Phone number: 219-779-8735
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