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1023120805
KRISHNAVENI GORANTLA
MUNSTER, IN
NPI
1023120805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01033050A)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- KRISHNAVENI GORANTLA MD
9130 COLUMBIA AVE SUITE B
MUNSTER, IN 46321
Phone number: 219-836-8803
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Mailing Address
-- KRISHNAVENI GORANTLA MD
9130 COLUMBIA AVE SUITE B
MUNSTER, IN 46321
Phone number: 219-836-8803
Copy
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