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1558403519
RAJAMANICKAM PURUSHOTHAMAN
SPRINGFIELD, MO
NPI
1558403519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MO 105696)
Enumeration Date
2007-02-13
Last Update Date
2008-07-22
Business Address
Dr. RAJAMANICKAM PURUSHOTHAMAN MD
1965 S FREMONT AVE SUITE 300
SPRINGFIELD, MO 65804-2201
Phone number: 417-820-3760
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Mailing Address
Dr. RAJAMANICKAM PURUSHOTHAMAN MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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