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1053044610
VISHAL KOTTAPALLI
RICHLAND, WA
NPI
1053044610
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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: WA OL61294437)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
VISHAL KOTTAPALLI DO
940 NORTHGATE DR
RICHLAND, WA 99352-3505
Phone number: 509-942-2516
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Mailing Address
VISHAL KOTTAPALLI DO
550 GAGE BLVD STE 101
RICHLAND, WA 99352-9532
Phone number: 509-942-3627
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