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1861821589
PANYAMOL PAM KITTIPONGDAJA
FORT WASHINGTON, PA
NPI
1861821589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA OS018946)
Enumeration Date
2013-11-04
Last Update Date
2018-02-13
Business Address
PANYAMOL PAM KITTIPONGDAJA DO
501 OFFICE CENTER DR STE 190-195
FORT WASHINGTON, PA 19034-3220
Phone number: 215-836-7900
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Mailing Address
PANYAMOL PAM KITTIPONGDAJA DO
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number:
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