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1144904285
MANOGNA PUCHHALAPALLI
KENNESAW, GA
NPI
1144904285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-09
Last Update Date
2023-09-28
Business Address
MANOGNA PUCHHALAPALLI PA-C
4225 WADE GREEN RD NW
KENNESAW, GA 30144-1244
Phone number: 470-239-1199
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Mailing Address
MANOGNA PUCHHALAPALLI PA-C
1833 HEIRLOOM CT
MARIETTA, GA 30066-1636
Phone number: 773-680-7669
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