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1982029450
SIRILUCK BOONSOM
INDIANAPOLIS, IN
NPI
1982029450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 846583)
Enumeration Date
2014-02-20
Last Update Date
2014-02-20
Business Address
-- SIRILUCK BOONSOM
5980 W 71ST ST SUITE 102
INDIANAPOLIS, IN 46278-2711
Phone number: 317-388-0800
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Mailing Address
-- SIRILUCK BOONSOM
5980 W 71ST ST SUITE 102
INDIANAPOLIS, IN 46278-2711
Phone number: 317-388-0800
Copy
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