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1386499630
INDIRA MODEPALLE
FAYETTEVILLE, NC
NPI
1386499630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-20
Last Update Date
2024-04-22
Business Address
INDIRA MODEPALLE MD
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-3780
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Mailing Address
INDIRA MODEPALLE MD
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-3780
Copy
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