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1003122003
MINI SRA
MISHAWAKA, IN
NPI
1003122003
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Former Name
MANDEEP SRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01072359A)
Enumeration Date
2010-08-27
Last Update Date
2016-11-03
Business Address
-- MINI SRA
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-2521
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Mailing Address
-- MINI SRA
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-2521
Copy
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