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1497282610
ACHALA SHIVANTHI GUNASENA
FREDERICK, MD
NPI
1497282610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0006440)
Enumeration Date
2017-05-18
Last Update Date
2024-08-27
Business Address
ACHALA SHIVANTHI GUNASENA PA-C
7211 BANK CT
FREDERICK, MD 21703-8483
Phone number: 240-215-6310
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Mailing Address
ACHALA SHIVANTHI GUNASENA PA-C
400 W 7TH ST
FREDERICK, MD 21701-4506
Phone number: 240-215-6310
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