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1851026033
PRATHISHA MANICKA VINOTH
MONTGOMERY, AL
NPI
1851026033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
Dr. PRATHISHA MANICKA VINOTH MD
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 334-288-2100
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Mailing Address
Dr. PRATHISHA MANICKA VINOTH MD
3564 RESERVE CIR APT E
MONTGOMERY, AL 36116-8841
Phone number: 334-895-4811
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