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1396208781
DIVYA LAKSHMI INDRAKANTI
JACKSON, TN
NPI
1396208781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: TN MD0000069208)
Enumeration Date
2019-04-11
Last Update Date
2023-10-11
Business Address
DR. DIVYA LAKSHMI INDRAKANTI MD
112 STONEBRIDGE BLVD
JACKSON, TN 38305-2038
Phone number: 731-664-1994
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Mailing Address
DR. DIVYA LAKSHMI INDRAKANTI MD
198 MOSES DR
JACKSON, TN 38305-6938
Phone number: 513-652-0502
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