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1124456926
MANOGNA KATAKAM
LA PORTE, IN
NPI
1124456926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012051A)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
Dr. MANOGNA KATAKAM DDS
400 TEEGARDEN ST
LA PORTE, IN 46350-3175
Phone number: 219-718-2708
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Mailing Address
Dr. MANOGNA KATAKAM DDS
400 TEEGARDEN ST
LA PORTE, IN 46350-3175
Phone number:
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