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1194084236
KUSHAN D. MOONESINGHE
CARBONDALE, IL
NPI
1194084236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-133041)
Enumeration Date
2012-05-10
Last Update Date
2013-08-12
Business Address
KUSHAN D. MOONESINGHE M.D.
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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Mailing Address
KUSHAN D. MOONESINGHE M.D.
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
Copy
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