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1063767564
ANNAPOORNA MUTHYAPU
STOCKTON, CA
NPI
1063767564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 134156)
Enumeration Date
2012-07-20
Last Update Date
2018-09-18
Business Address
ANNAPOORNA MUTHYAPU M.D.
3132 W MARCH LN STE 5
STOCKTON, CA 95219-2354
Phone number: 209-475-5500
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Mailing Address
ANNAPOORNA MUTHYAPU M.D.
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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