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1841258902
NISAL K SAMARASEKERA
GLENDALE, AZ
NPI
1841258902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 23001)
Enumeration Date
2006-05-01
Last Update Date
2009-12-10
Business Address
Dr. NISAL K SAMARASEKERA M.D.
6320 W UNION HILLS DR STE A210
GLENDALE, AZ 85308-7212
Phone number: 623-362-8866
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Mailing Address
Dr. NISAL K SAMARASEKERA M.D.
6320 W UNION HILLS DR STE A210
GLENDALE, AZ 85308-7212
Phone number: 623-362-8866
Copy
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