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1881034650
PATRIN SUPPATKUL KONGKAEOW
CAPE CORAL, FL
NPI
1881034650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME128582)
Enumeration Date
2013-06-26
Last Update Date
2020-06-26
Business Address
Dr. PATRIN SUPPATKUL KONGKAEOW M.D.
636 DEL PRADO BLVD
CAPE CORAL, FL 33990-2695
Phone number: 239-424-3123
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Mailing Address
Dr. PATRIN SUPPATKUL KONGKAEOW M.D.
13607 PINE VILLA LN
FORT MYERS, FL 33912-1617
Phone number: 239-424-3123
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