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1669541728
KUSUMA GOWDAR
DECATUR, IL
NPI
1669541728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036052460)
Enumeration Date
2006-11-06
Last Update Date
2014-09-18
Business Address
Dr. KUSUMA GOWDAR MD
741 W PERSHING RD
DECATUR, IL 62526
Phone number: 217-876-7200
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Mailing Address
Dr. KUSUMA GOWDAR MD
2300 N EDWARD ST GSBLL
DECATUR, IL 62526-4163
Phone number: 217-876-2857
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