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1275524894
CHANDIMA BANDARA DEEGALA
SHIPROCK, NM
NPI
1275524894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 17516)
Enumeration Date
2005-11-02
Last Update Date
2008-02-08
Business Address
Mr. CHANDIMA BANDARA DEEGALA PharmD
US HWY 491 N
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
Mr. CHANDIMA BANDARA DEEGALA PharmD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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