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1922032952
LUKCHAI BHAVABHUTANON
MONTEREY PARK, CA
NPI
1922032952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20a7134)
Enumeration Date
2006-07-10
Last Update Date
2015-10-13
Business Address
-- LUKCHAI BHAVABHUTANON D.O.
880 S ATLANTIC BLVD SUITE 307
MONTEREY PARK, CA 91754-4700
Phone number: 626-300-8424
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Mailing Address
-- LUKCHAI BHAVABHUTANON D.O.
880 S ATLANTIC BLVD SUITE 307
MONTEREY PARK, CA 91754-4700
Phone number: 626-300-8424
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