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1720498629
SHALINI BONGU
ST LOUIS, MO
NPI
1720498629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
Dr. SHALINI BONGU M.D.
6420 CLAYTON ROAD ST MARY'S HEALTH CENTER
ST LOUIS, MO 63117
Phone number: 706-910-5009
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Mailing Address
Dr. SHALINI BONGU M.D.
1442 COMMON WAY RD APT 203
ORLANDO, FL 32814-6445
Phone number: 706-910-5009
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