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1962764290
PANUMAS SOUKAROON
ROSEVILLE, CA
NPI
1962764290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA OT12643)
Enumeration Date
2012-06-12
Last Update Date
2020-03-11
Business Address
PANUMAS SOUKAROON OTR/L
GLENWOOD SPRINGS WAY
ROSEVILLE, CA 95747
Phone number: 916-752-0033
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Mailing Address
PANUMAS SOUKAROON OTR/L
5080 GLENWOOD SPRINGS WAY
ROSEVILLE, CA 95747-9291
Phone number: 916-752-0033
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