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Individual
SASIWAN W KAMTHONG
Active
Individual
SASIWAN W KAMTHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP111202
TX
363LF0000X
Family Nurse Practitioner
Primary
AP111202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147897601
—
TX
Enumeration date
05/28/2006
Last updated
04/22/2021
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