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1124604616
SANJANA PRABHU
ST PETERSBURG, FL
NPI
1124604616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2021-03-24
Business Address
SANJANA PRABHU
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number: 727-767-4106
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Mailing Address
SANJANA PRABHU
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number: 727-767-4106
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