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1477789097
PAVITHRA IRUSHI DISSANAYAKE
BIRMINGHAM, AL
NPI
1477789097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-06-10
Last Update Date
2015-11-12
Business Address
-- PAVITHRA IRUSHI DISSANAYAKE D.O.
840 MONTCLAIR RD SUITE 317
BIRMINGHAM, AL 35213-1920
Phone number: 205-592-5135
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Mailing Address
-- PAVITHRA IRUSHI DISSANAYAKE D.O.
1740W TAYLOR ST 3114
CHICAGO, IL 60612-7232
Phone number: 312-996-3879
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