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1992917009
USHASRI KOGANTI
OTTAWA, IL
NPI
1992917009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: IL 036096808)
Enumeration Date
2007-05-03
Last Update Date
2010-11-22
Business Address
Dr. USHASRI KOGANTI
1129 COLUMBUS ST
OTTAWA, IL 61350-2106
Phone number: 815-434-2048
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Mailing Address
Dr. USHASRI KOGANTI
1129 COLUMBUS ST
OTTAWA, IL 61350-2106
Phone number: 815-434-2048
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