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1376993386
PRERNA BANSAL
JACKSONVILLE, FL
NPI
1376993386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: FL ME158327)
Enumeration Date
2016-06-21
Last Update Date
2023-02-14
Business Address
PRERNA BANSAL MD
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207-8350
Phone number: 904-202-8550
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Mailing Address
PRERNA BANSAL MD
PO BOX 746645
ATLANTA, GA 30374-6645
Phone number: 904-376-4083
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