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1083083364
VIJI KODUVATH
GARLAND, TX
NPI
1083083364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128758)
Enumeration Date
2015-09-17
Last Update Date
2019-08-20
Business Address
VIJI KODUVATH
1837 N GARLAND AVE
GARLAND, TX 75040-4561
Phone number: 469-432-4107
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Mailing Address
VIJI KODUVATH
1837 N GARLAND AVE
GARLAND, TX 75040-4561
Phone number: 469-432-4107
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