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Individual

SASIN PAYAKACHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703-1908
(479) 713-8310
Mailing address
114 CHARLESTON LN, LITTLE ROCK, AR 72223-4618
(501) 849-4184

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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