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1154940070
ANEESH ATUL BAPODRA
JBSA LACKLAND, TX
NPI
1154940070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101274610)
Enumeration Date
2020-04-10
Last Update Date
2023-08-07
Business Address
ANEESH ATUL BAPODRA
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Phone number: 210-292-7805
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Mailing Address
ANEESH ATUL BAPODRA
1100 WILFORD HALL LOOP LACKLAND AFB
JBSA-LACKLAND, TX 78236-5638
Phone number: 210-292-7805
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