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1891794954
LENKALA R MALLAIAH
SANFORD, FL
NPI
1891794954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: FL ME0037029)
Enumeration Date
2005-07-20
Last Update Date
2012-03-01
Business Address
LENKALA R MALLAIAH MD
311 N MANGOUSTINE AVE
SANFORD, FL 32771-1098
Phone number: 407-321-4570
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Mailing Address
LENKALA R MALLAIAH MD
311 N MANGOUSTINE AVE
SANFORD, FL 32771-1098
Phone number: 407-321-4570
Copy
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