PHOUTHASONE PADAVONG

TRIPLER ARMY MEDICAL CENTER, HI
NPI1760821649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy211D00000X Assistant, Podiatric
Enumeration Date2013-06-24
Last Update Date2013-06-24
Business Address
-- PHOUTHASONE PADAVONG
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: 808-433-4777
Mailing Address
-- PHOUTHASONE PADAVONG
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: 808-433-4777
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