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1033671748
SRUTHI DOMALAPALLY
SAN JOSE, CA
NPI
1033671748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95011027)
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
SRUTHI DOMALAPALLY
65 N 14TH ST
SAN JOSE, CA 95112-6207
Phone number: 408-279-1400
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Mailing Address
SRUTHI DOMALAPALLY
99 VISTA MONTANA APT 3215
SAN JOSE, CA 95134-2377
Phone number: 240-812-2002
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