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1457746117
MOUNICA BANALA
TEMPLE TERRACE, FL
NPI
1457746117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME136211)
Enumeration Date
2015-03-31
Last Update Date
2021-02-09
Business Address
MOUNICA BANALA MD
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0926
Phone number: 813-779-6303
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Mailing Address
MOUNICA BANALA MD
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0926
Phone number: 813-779-6303
Copy
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