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1710407689
MARKANDEYA MADABATTULA
COLUMBIA, MO
NPI
1710407689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2017021066)
Enumeration Date
2017-06-22
Last Update Date
2020-06-19
Business Address
MARKANDEYA MADABATTULA
1 HOSPITAL DR # DC043.00
COLUMBIA, MO 65212-1000
Phone number: 573-884-9066
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Mailing Address
MARKANDEYA MADABATTULA
624 LEGER WAY
EDMONTON, ALBERTA T6R 0C2
Phone number:
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