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1083286470
SHRAVYA BALMURI
SHREVEPORT, LA
NPI
1083286470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351047822)
Enumeration Date
2021-07-14
Last Update Date
2022-12-06
Business Address
SHRAVYA BALMURI MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
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Mailing Address
SHRAVYA BALMURI MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Copy
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