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1013279512
PUSHPAMAL NAYANANGA SAMARARATNE
MARQUETTE, MI
NPI
1013279512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Dr. PUSHPAMAL NAYANANGA SAMARARATNE MD
1414 W FAIR AVE SUITE 24
MARQUETTE, MI 49855-2675
Phone number: 906-225-3864
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Mailing Address
Dr. PUSHPAMAL NAYANANGA SAMARARATNE MD
4602 DEPT
CAROL STREAM, IL 60122-4602
Phone number: 906-225-3630
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