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1194063669
VIJAY R KOLAVENNU
FREMONT, CA
NPI
1194063669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-01-17
Last Update Date
2013-09-11
Business Address
DR. VIJAY R KOLAVENNU PH. D.
3300 CAPITOL AVE
FREMONT, CA 94538-1514
Phone number: 510-574-2032
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Mailing Address
DR. VIJAY R KOLAVENNU PH. D.
3300 CAPITOL AVE
FREMONT, CA 94538-1514
Phone number: 510-574-2032
Copy
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