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1750516977
SOUK CHANTHABOURY
APO, AE
NPI
1750516977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-05-18
Last Update Date
2010-05-04
Business Address
-- SOUK CHANTHABOURY IDMT
PSC 112
APO, AE 09717-9998
Phone number: 003141-333-5950
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Mailing Address
-- SOUK CHANTHABOURY IDMT
PSC 112 BOX 62
APO, AE 09717-0001
Phone number: 003141-333-5950
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