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1992327969
CHANDIMA JINANI HERATH MUDIYANSELAGE
POWELL, TN
NPI
1992327969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 70459)
Enumeration Date
2020-05-13
Last Update Date
2024-11-19
Business Address
Mrs. CHANDIMA JINANI HERATH MUDIYANSELAGE M.D.
7565 DANNAHER DR
POWELL, TN 37849-4029
Phone number: 865-859-8000
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Mailing Address
Mrs. CHANDIMA JINANI HERATH MUDIYANSELAGE M.D.
4201 ST. ANTOINE UHC 9C
DETROIT, MI 48201
Phone number: 313-745-5147
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