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1952720872
WATCHAROOT KANCHONGKITTIPHON
DETROIT, MI
NPI
1952720872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-08
Last Update Date
2015-12-29
Business Address
-- WATCHAROOT KANCHONGKITTIPHON
3901 BEAUBIEN BLVD. CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Phone number: 313-745-1892
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Mailing Address
-- WATCHAROOT KANCHONGKITTIPHON
1 LAFEYETTE PLAISANCE ST APT 1103
DETROIT, MI 48207
Phone number: 857-200-7407
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