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1811904519
THAWAT EOSAKUL
FONTANA, CA
NPI
1811904519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A32349)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- THAWAT EOSAKUL M.D.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
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Mailing Address
-- THAWAT EOSAKUL M.D.
16860 SEVILLE AVE
FONTANA, CA 92335-3561
Phone number: 909-350-3091
Copy
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