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1033748702
MITHUN N MEDAGANGODA
FRESNO, CA
NPI
1033748702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 20A20946)
Enumeration Date
2020-04-05
Last Update Date
2024-07-18
Business Address
MITHUN N MEDAGANGODA DO
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
MITHUN N MEDAGANGODA DO
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number:
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