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1912986837
PRAKASH R BONTU
DAVENPORT, IA
NPI
1912986837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: IA 24121)
Enumeration Date
2006-01-10
Last Update Date
2007-11-21
Business Address
DR. PRAKASH R BONTU M.D.
1236 E RUSHOLME ST SUITE 300
DAVENPORT, IA 52803-2473
Phone number: 563-324-2992
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Mailing Address
DR. PRAKASH R BONTU M.D.
1236 E RUSHOLME ST SUITE 300
DAVENPORT, IA 52803-2473
Phone number: 563-324-2992
Copy
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