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1730418229
GOUTAMI KANNA NALLAMOTHU
SPRINGFIELD, IL
NPI
1730418229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036096435)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
-- GOUTAMI KANNA NALLAMOTHU M.D.
2603 S 6TH ST
SPRINGFIELD, IL 62703-3807
Phone number: 217-528-0307
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Mailing Address
-- GOUTAMI KANNA NALLAMOTHU M.D.
PO BOX 4566
SPRINGFIELD, IL 62708-4566
Phone number: 800-577-5368
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