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1023661857
ANNAPURNA LAKSHMI SRAVANTI MANDALIKA
LONG BRANCH, NJ
NPI
1023661857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NH 22330)
Enumeration Date
2019-07-21
Last Update Date
2022-05-20
Business Address
ANNAPURNA LAKSHMI SRAVANTI MANDALIKA MD
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-822-7639
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Mailing Address
ANNAPURNA LAKSHMI SRAVANTI MANDALIKA MD
40 LAIRD ST APT 1-433
LONG BRANCH, NJ 07740-8101
Phone number: 732-822-7639
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