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1851353148
TATJANA MONDOM
UTICA, NY
NPI
1851353148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 227664-1)
Enumeration Date
2006-04-04
Last Update Date
2015-12-07
Business Address
-- TATJANA MONDOM MD
1656 CHAMPLIN AVE
UTICA, NY 13502-4830
Phone number: 315-624-6467
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Mailing Address
-- TATJANA MONDOM MD
1656 CHAMPLIN AVE
UTICA, NY 13502-4830
Phone number: 315-624-6467
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