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1104124569
SRISKANTHARAJAH LINGAM
PROVO, UT
NPI
1104124569
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Other Name
SRI LINGAM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
Mr. SRISKANTHARAJAH LINGAM
750 N 200 W SUITE # 300
PROVO, UT 84601-1677
Phone number: 801-722-5595
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Mailing Address
Mr. SRISKANTHARAJAH LINGAM
750 N 200 W SUITE # 300
PROVO, UT 84601-1677
Phone number: 801-722-5595
Copy
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