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1902376130
LAMBODARA LLC
FORT WAYNE, IN
NPI
1902376130
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Entity Type
Organization
Authorized Contact
KAMLESHKUMAR R PATEL
Member
321-626-3044
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
LAMBODARA LLC
1638 CARROLL RD
FORT WAYNE, IN 46845
Phone number: 321-626-3044
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Mailing Address
LAMBODARA LLC
1638 CARROLL RD
FORT WAYNE, IN 46845
Phone number: 321-626-3044
Copy
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