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1013171412
EZHILARASI MANICKAVASAGAM
TEMPLE, TX
NPI
1013171412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX S2837)
Enumeration Date
2008-07-15
Last Update Date
2024-03-04
Business Address
Dr. EZHILARASI MANICKAVASAGAM M.D
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504-7011
Phone number: 877-800-5722
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Mailing Address
Dr. EZHILARASI MANICKAVASAGAM M.D
205 E UNIVERSITY AVE STE 200
GEORGETOWN, TX 78626-6821
Phone number: 512-686-0207
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