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1215162466
WAKE FAMILY MEDICINE PC
CARY, NC
NPI
1215162466
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Entity Type
Organization
Authorized Contact
MRINALINI SUJALA KODUMAGULLA
Owner/Physican
919-395-3491
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2009-05-18
Last Update Date
2019-09-30
Business Address
WAKE FAMILY MEDICINE PC
1831 LAKE PINE DR STE 200
CARY, NC 27511-6050
Phone number: 919-380-1849
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Mailing Address
WAKE FAMILY MEDICINE PC
1831 LAKE PINE DR STE 200
CARY, NC 27511-6050
Phone number: 919-380-1849
Copy
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