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1336880657
BALASINGAM THEVAKUMAR
PHOENIX, AZ
NPI
1336880657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ R79125)
Enumeration Date
2022-04-02
Last Update Date
2023-02-22
Business Address
BALASINGAM THEVAKUMAR MD
4120 N 108TH AVE STE 116
PHOENIX, AZ 85037-5773
Phone number: 623-872-1818
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Mailing Address
BALASINGAM THEVAKUMAR MD
8245 N 27TH AVE APT 204
PHOENIX, AZ 85051-6369
Phone number: 916-934-8724
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