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1588091243
THARA BHANGU
MIAMI, FL
NPI
1588091243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9107421)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
-- THARA BHANGU PA-C
7600 SW 87TH AVE STE 206
MIAMI, FL 33173-3635
Phone number: 305-275-5525
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Mailing Address
-- THARA BHANGU PA-C
7793 SW 102ND LN
MIAMI, FL 33156-2690
Phone number: 305-775-2435
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