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1073215240
KIRAN KUMAR GANUGAPENTA
CONCORD, NC
NPI
1073215240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC p16025)
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
KIRAN KUMAR GANUGAPENTA
10669 SKY CHASE AVE NW
CONCORD, NC 28027-2622
Phone number: 989-760-1028
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Mailing Address
KIRAN KUMAR GANUGAPENTA
10669 SKY CHASE AVE NW
CONCORD, NC 28027-2622
Phone number: 989-760-1028
Copy
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