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1124715131
ROSHAN KOLLIPARA
OCEANSIDE, NY
NPI
1124715131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
ROSHAN KOLLIPARA
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 408-674-8522
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Mailing Address
ROSHAN KOLLIPARA
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 408-674-8522
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