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1760800460
PHOUTTHASONE THIRAKUL
TAMPA, FL
NPI
1760800460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA A125018)
Enumeration Date
2014-04-01
Last Update Date
2015-06-16
Business Address
-- PHOUTTHASONE THIRAKUL
11025 N 46TH ST
TAMPA, FL 33617-2000
Phone number: 813-914-4500
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Mailing Address
-- PHOUTTHASONE THIRAKUL
11025 N 46TH ST
TAMPA, FL 33617-2000
Phone number: 813-914-4500
Copy
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