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1205024254
KIRANMAYI PALLA MUDDASANI
MIAMI BEACH, FL
NPI
1205024254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: FL ME 124298)
Enumeration Date
2007-10-03
Last Update Date
2015-07-20
Business Address
-- KIRANMAYI PALLA MUDDASANI
4306 ALTON RD
MIAMI BEACH, FL 33140-2840
Phone number: 305-674-2121
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Mailing Address
-- KIRANMAYI PALLA MUDDASANI
1715 CALAIS DR
MIAMI BEACH, FL 33141-3510
Phone number: 203-843-7761
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