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1699775684
MAHENDRA DEFONSEKA
HENDERSON, NV
NPI
1699775684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NV 3983)
Enumeration Date
2005-07-30
Last Update Date
2007-07-08
Business Address
-- MAHENDRA DEFONSEKA M.D.
2610 W HORIZON RIDGE PKWY SUITE 105
HENDERSON, NV 89052-2869
Phone number: 702-565-3037
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Mailing Address
-- MAHENDRA DEFONSEKA M.D.
8010 W SAHARA AVE SUITE 235
LAS VEGAS, NV 89117-7905
Phone number: 702-256-3637
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