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1922744531
AVINASH MAMGAIN
LAKELAND, FL
NPI
1922744531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL 4413)
Enumeration Date
2022-05-06
Last Update Date
2024-04-25
Business Address
AVINASH MAMGAIN
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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Mailing Address
AVINASH MAMGAIN
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number:
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