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Individual

SILAKHONE DOUANGKESONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-3198
Mailing address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-3198

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-8152
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/15/2011
Last updated
01/11/2016
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