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1073975298
RAVITEJA NAGA DEVALLA
DAKOTA DUNES, SD
NPI
1073975298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: SD 14123)
Enumeration Date
2016-03-26
Last Update Date
2023-08-21
Business Address
RAVITEJA NAGA DEVALLA M.D.
345 W STEAMBOAT DR STE 601
DAKOTA DUNES, SD 57049-5287
Phone number: 605-217-5617
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Mailing Address
RAVITEJA NAGA DEVALLA M.D.
345 W STEAMBOAT DR STE 601
DAKOTA DUNES, SD 57049-5287
Phone number: 605-217-5617
Copy
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