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1669113353
LAKSHAN FONSEKA
BROCKTON, MA
NPI
1669113353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
LAKSHAN FONSEKA DO
940 BELMONT ST
BROCKTON, MA 02301-5568
Phone number: 508-583-4500
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Mailing Address
LAKSHAN FONSEKA DO
28333 BRYCE DR
CASTAIC, CA 91384-3781
Phone number: 661-319-6743
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