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1952050080
BRYAN MITRA KAMALAKER
LAWRENCEVILLE, GA
NPI
1952050080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-24
Business Address
BRYAN MITRA KAMALAKER DO
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-4073
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Mailing Address
BRYAN MITRA KAMALAKER DO
1000 MEDICAL CENTER BLVD FL
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-4073
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