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1881007268
CHARISSE LAURA MANDIMIKA
NEW HAVEN, CT
NPI
1881007268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-06-03
Last Update Date
2015-06-06
Business Address
Dr. CHARISSE LAURA MANDIMIKA M.D.
15 YORK ST
NEW HAVEN, CT 06510-3221
Phone number: 203-688-5303
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Mailing Address
Dr. CHARISSE LAURA MANDIMIKA M.D.
1450 CHAPEL ST # PRIVATE3
NEW HAVEN, CT 06511-4405
Phone number: 203-789-4044
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