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1972358232
CHANOKPORN PUCHONGMART
LUBBOCK, TX
NPI
1972358232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-20
Last Update Date
2024-04-20
Business Address
Dr. CHANOKPORN PUCHONGMART MD
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-6840
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Mailing Address
Dr. CHANOKPORN PUCHONGMART MD
14461 JUDD ST
ARLETA, CA 91331-5054
Phone number: 818-355-4493
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