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1104856905
LATA RAVINDRA PATIL
CENTREVILLE, AL
NPI
1104856905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 00011233)
Enumeration Date
2006-07-04
Last Update Date
2015-02-25
Business Address
Mrs. LATA RAVINDRA PATIL M.D.
208 PIERSON AVENUE
CENTREVILLE, AL 35042
Phone number: 205-926-4694
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Mailing Address
Mrs. LATA RAVINDRA PATIL M.D.
208 PIERSON AVENUE
CENTREVILLE, AL 35042-2028
Phone number: 205-926-3292
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