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1306950001
LAURA LOUISE FORD-MUKKAMALA
ORCHARD PARK, NY
NPI
1306950001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY 265258)
Enumeration Date
2006-08-18
Last Update Date
2017-11-08
Business Address
LAURA LOUISE FORD-MUKKAMALA DO
5959 BIG TREE RD
ORCHARD PARK, NY 14127-2291
Phone number: 716-710-8266
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Mailing Address
LAURA LOUISE FORD-MUKKAMALA DO
908 NIAGARA FALLS BLVD STE 208
NORTH TONAWANDA, NY 14120-2019
Phone number: 716-692-3302
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