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1750510889
LIHINI IMALA DALZELL
BRADENTON, FL
NPI
1750510889
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Former Name
LIHINI IMALA WEERASURIYA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS11114)
Enumeration Date
2009-07-10
Last Update Date
2015-04-13
Business Address
Dr. LIHINI IMALA DALZELL DO
5318 34TH ST W
BRADENTON, FL 34210-3401
Phone number: 941-758-0205
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Mailing Address
Dr. LIHINI IMALA DALZELL DO
5318 34TH ST W
BRADENTON, FL 34210-3401
Phone number: 941-758-0205
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