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1093493355
VIJAY SAM NETHALA
TUCSON, AZ
NPI
1093493355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ R80442)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
VIJAY SAM NETHALA M.B.B.S
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741-3529
Phone number: 575-386-9110
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Mailing Address
VIJAY SAM NETHALA M.B.B.S
8323 N SHANNON RD
TUCSON, AZ 85742-9597
Phone number: 703-966-4293
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