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1003490426
SUSHMITA THOTA
POPLAR BLUFF, MO
NPI
1003490426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2024026869)
Enumeration Date
2021-05-11
Last Update Date
2024-10-09
Business Address
SUSHMITA THOTA MD
2879 JAMES BLVD
POPLAR BLUFF, MO 63901-3395
Phone number: 214-566-8275
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Mailing Address
SUSHMITA THOTA MD
205 MACINTOSH LN
POPLAR BLUFF, MO 63901-9116
Phone number: 214-566-8275
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