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1356569776
DEEPIKA BONGU
FAYETTEVILLE, NC
NPI
1356569776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200301092)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Dr. DEEPIKA BONGU M.D
239 ROBESON ST
FAYETTEVILLE, NC 28301-5511
Phone number: 910-485-0555
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Mailing Address
Dr. DEEPIKA BONGU M.D
4413 FERNCREEK DR
FAYETTEVILLE, NC 28314-2545
Phone number: 910-487-3931
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