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1245827856
ANISHA DURGA KOTHARI
BLOOMINGTON, IN
NPI
1245827856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003156A)
Enumeration Date
2020-12-29
Last Update Date
2023-07-06
Business Address
ANISHA DURGA KOTHARI PA-C
415 S LANDMARK AVE
BLOOMINGTON, IN 47403-5003
Phone number: 812-932-2387
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Mailing Address
ANISHA DURGA KOTHARI PA-C
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008
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