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1316023559
PRASANNA GOWDAR
DECATUR, IL
NPI
1316023559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036067549)
Enumeration Date
2006-10-31
Last Update Date
2014-08-27
Business Address
Dr. PRASANNA GOWDAR MD
741 W PERSHING RD
DECATUR, IL 62526
Phone number: 217-876-7200
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Mailing Address
Dr. PRASANNA GOWDAR MD
741 W PERSHING RD
DECATUR, IL 62526
Phone number: 217-876-7200
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