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1306465588
MAMUA MARY ANDELA
FAYETTEVILLE, AR
NPI
1306465588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
MAMUA MARY ANDELA MD
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8700
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Mailing Address
MAMUA MARY ANDELA MD
2306 W PIATT LN
OLATHE, KS 66061-5042
Phone number: 913-231-1338
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