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1073570032
PUTHALATH KOROTH RAGHUPRASAD
ODESSA, TX
NPI
1073570032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207KA0200X Allergy & Immunology, Allergy
(Licence: TX F8987)
Enumeration Date
2006-04-26
Last Update Date
2008-07-23
Business Address
Dr. PUTHALATH KOROTH RAGHUPRASAD M.D.
2400 E 8TH ST
ODESSA, TX 79761-4902
Phone number: 432-332-5533
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Mailing Address
Dr. PUTHALATH KOROTH RAGHUPRASAD M.D.
2400 E 8TH ST
ODESSA, TX 79761-4902
Phone number: 432-332-5533
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