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1275552952
SHARAL MALL
KETTERING, OH
NPI
1275552952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 34006934)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- SHARAL MALL DO
540 LINCOLN PARK BLVD SUITE 100
KETTERING, OH 45429-6401
Phone number: 937-299-0900
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Mailing Address
-- SHARAL MALL DO
3614 E SALINAS CIR
DAYTON, OH 45440-3965
Phone number: 937-848-6408
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