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1275841595
GODA P DAMERA
ELLICOTT CITY, MD
NPI
1275841595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 52104)
Enumeration Date
2010-09-21
Last Update Date
2018-11-06
Business Address
GODA P DAMERA
3128 WHEATON WAY APT E
ELLICOTT CITY, MD 21043
Phone number: 775-997-5066
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Mailing Address
GODA P DAMERA
6019 WALNUT GROVE RD
MEMPHIS, TN 38120-2113
Phone number: 775-997-5066
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