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1134566169
VIJAYA SUBHADRA LAKIMSETTY
MAYWOOD, IL
NPI
1134566169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-05-31
Last Update Date
2013-07-02
Business Address
-- VIJAYA SUBHADRA LAKIMSETTY M.D
2160 S 1ST AVE LOYOLA OUTPATIENT CENTER,4300
MAYWOOD, IL 60153-3328
Phone number: 708-216-8078
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Mailing Address
-- VIJAYA SUBHADRA LAKIMSETTY M.D
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number:
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