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1104822055
SHAKTI AVA MAHAPATRA
PALM SPRINGS, CA
NPI
1104822055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A37578)
Enumeration Date
2005-06-24
Last Update Date
2018-10-04
Business Address
Mrs. SHAKTI AVA MAHAPATRA MD
415 S PALM CANYON DR
PALM SPRINGS, CA 92262-7303
Phone number: 760-773-4560
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Mailing Address
Mrs. SHAKTI AVA MAHAPATRA MD
415 S PALM CANYON DR
PALM SPRINGS, CA 92262-7303
Phone number: 760-773-4560
Copy
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