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1790705671
MIKEL ANGELO ALWIS
BARSTOW, CA
NPI
1790705671
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Former Name
MAITHRI N. WEERASINGHE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A48518)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
MIKEL ANGELO ALWIS M.D.
716 E MAIN ST
BARSTOW, CA 92311-2354
Phone number: 760-256-6426
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Mailing Address
MIKEL ANGELO ALWIS M.D.
PO BOX 487
BARSTOW, CA 92312-0487
Phone number: 760-256-6426
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