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1780765305
SITTIPORN BOONTUNG
TORRANCE, CA
NPI
1780765305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA A25148)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
DR. SITTIPORN BOONTUNG M.D.
23000 CRENSHAW BLVD SUITE 200
TORRANCE, CA 90505-3052
Phone number: 310-530-6264
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Mailing Address
DR. SITTIPORN BOONTUNG M.D.
23000 CRENSHAW BLVD SUITE 200
TORRANCE, CA 90505-3052
Phone number: 310-530-6264
Copy
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