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1710340419
KANISHKA GUNADASA
GREENSBORO, NC
NPI
1710340419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 217701)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
-- KANISHKA GUNADASA
1125 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number: 336-832-8468
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Mailing Address
-- KANISHKA GUNADASA
1125 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number:
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