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1194873489
BHAVANA JAYARAM
LAWRENCE, MA
NPI
1194873489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 21404)
Enumeration Date
2007-01-05
Last Update Date
2010-12-28
Business Address
-- BHAVANA JAYARAM DMD
73C WINTHROP AVE
LAWRENCE, MA 01843-3716
Phone number: 978-725-6525
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Mailing Address
-- BHAVANA JAYARAM DMD
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447
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