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1922200435
GEETHA BHAVANI KANDIMALA
LAWTON, OK
NPI
1922200435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: OK 26013)
Enumeration Date
2007-06-05
Last Update Date
2012-06-07
Business Address
-- GEETHA BHAVANI KANDIMALA MD
5606 SW LEE BLVD 302
LAWTON, OK 73505-9688
Phone number: 580-919-5361
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Mailing Address
-- GEETHA BHAVANI KANDIMALA MD
5606 SW LEE BLVD 302
LAWTON, OK 73505-9688
Phone number: 580-919-5361
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