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1376653089
KUMUDINIE C FONSEKA
ST CLAIR SHORES, MI
NPI
1376653089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301049484)
Enumeration Date
2006-08-30
Last Update Date
2012-10-22
Business Address
-- KUMUDINIE C FONSEKA MD
21327 HARPER AVENUE SUITE D
ST CLAIR SHORES, MI 48080
Phone number: 586-772-2300
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Mailing Address
-- KUMUDINIE C FONSEKA MD
21327 HARPER AVENUE SUITE D
ST CLAIR SHORES, MI 48080
Phone number: 586-772-2300
Copy
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