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1821019001
HEMWATTIE S JAIMANGAL
LADY LAKE, FL
NPI
1821019001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: FL OS10278)
Enumeration Date
2006-07-22
Last Update Date
2024-06-05
Business Address
Dr. HEMWATTIE S JAIMANGAL DO
8550 NE 138TH LN STE 500
LADY LAKE, FL 32159-6804
Phone number: 352-633-9858
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Mailing Address
Dr. HEMWATTIE S JAIMANGAL DO
18981 US HIGHWAY 441 STE 121
MOUNT DORA, FL 32757-6735
Phone number: 352-633-9858
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