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1013756253
KRISHNA KOTHAMASU
PHILADELPHIA, PA
NPI
1013756253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT023494)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
Dr. KRISHNA KOTHAMASU DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-4000
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Mailing Address
Dr. KRISHNA KOTHAMASU DO
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number:
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