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Individual
PAUL KASEMPHANTAI
Active
Individual
PAUL KASEMPHANTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06509
MD
363A00000X
Physician Assistant
Primary
PA031363
DC
Other
Enumeration date
03/17/2017
Last updated
08/06/2025
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