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1164700605
SRINIVASA RAO KOMIRISETTY
JACKSONVILLE, FL
NPI
1164700605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 055526-1)
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
-- SRINIVASA RAO KOMIRISETTY
10010 BELLE RIVE BLVD APT 510
JACKSONVILLE, FL 32256-9519
Phone number: 409-782-2402
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Mailing Address
-- SRINIVASA RAO KOMIRISETTY
10010 BELLE RIVE BLVD APT 510
JACKSONVILLE, FL 32256-9519
Phone number: 409-782-2402
Copy
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