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1003843574
BANGALORE S VIJAYALAKSHMI
FARGO, ND
NPI
1003843574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ND 9837)
Enumeration Date
2006-06-28
Last Update Date
2011-08-22
Business Address
-- BANGALORE S VIJAYALAKSHMI MD
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-3300
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Mailing Address
-- BANGALORE S VIJAYALAKSHMI MD
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-3300
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