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1689787780
BALI REDDY SODAM
LAWTON, OK
NPI
1689787780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: OK 24723)
Enumeration Date
2006-08-16
Last Update Date
2010-12-08
Business Address
Mr. BALI REDDY SODAM MD
4417 W GORE BLVD SUITE 1
LAWTON, OK 73505-5978
Phone number: 580-536-5273
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Mailing Address
Mr. BALI REDDY SODAM MD
4417 W GORE BLVD SUITE 1
LAWTON, OK 73505-5978
Phone number: 580-536-5273
Copy
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