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1205092913
VENKATA GANGADHAR BODDULURI
FAYETTEVILLE, NC
NPI
1205092913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 20199)
Enumeration Date
2008-08-01
Last Update Date
2009-06-09
Business Address
-- VENKATA GANGADHAR BODDULURI
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306-1766
Phone number: 910-484-0159
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Mailing Address
-- VENKATA GANGADHAR BODDULURI
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306-1766
Phone number: 910-484-0159
Copy
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