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1174690630
SAILAJA TUMMALA
LEBANON, MO
NPI
1174690630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2011022971)
Enumeration Date
2006-11-29
Last Update Date
2023-05-12
Business Address
Dr. SAILAJA TUMMALA MD
755 COWAN DRIVE
LEBANON, MO 65536
Phone number: 417-532-2805
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Mailing Address
Dr. SAILAJA TUMMALA MD
1622 W CALEB CT
SPRINGFIELD, MO 65810-1525
Phone number:
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