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1386730059
GANJUR H GURU-PRAKASH
DOTHAN, AL
NPI
1386730059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: AL 11357)
Enumeration Date
2006-10-04
Last Update Date
2011-03-24
Business Address
Dr. GANJUR H GURU-PRAKASH m.d.
207 HAVEN DR
DOTHAN, AL 36301-2919
Phone number: 334-793-3319
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Mailing Address
Dr. GANJUR H GURU-PRAKASH m.d.
207 HAVEN DR
DOTHAN, AL 36301-2919
Phone number: 334-793-3319
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