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1548290349
BHAGYA LAKSHMI PUPPALA
PARK RIDGE, IL
NPI
1548290349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL 03656684)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
Dr. BHAGYA LAKSHMI PUPPALA MD
1775 DEMPSTER ST 2 SOUTH
PARK RIDGE, IL 60068-1143
Phone number: 847-723-5313
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Mailing Address
Dr. BHAGYA LAKSHMI PUPPALA MD
1775 DEMPSTER ST 2 SOUTH
PARK RIDGE, IL 60068-1143
Phone number: 847-723-5313
Copy
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