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1265195796
ARCHANA MANDHARE
PLYMOUTH, MI
NPI
1265195796
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Former Name
ARCHANA BHOSAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI AG07210186)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
ARCHANA MANDHARE NP
15474 N HAGGERTY RD
PLYMOUTH, MI 48170-4893
Phone number: 877-448-3627
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Mailing Address
ARCHANA MANDHARE NP
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 877-448-3627
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