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1760224489
PRASAD VIVEKANAND THAKUR
FAYETTEVILLE, NC
NPI
1760224489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-12
Last Update Date
2024-10-25
Business Address
Mr. PRASAD VIVEKANAND THAKUR MD
1638 OWEN DRIVE
FAYETTEVILLE, NC 28304
Phone number: 910-615-4000
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Mailing Address
Mr. PRASAD VIVEKANAND THAKUR MD
1638 OWEN DRIVE
FAYETTEVILLE, NC 28304
Phone number: 910-615-3780
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