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1205489135
PRANITHA KOVURI
PEORIA, IL
NPI
1205489135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036159548)
Enumeration Date
2019-07-19
Last Update Date
2022-08-05
Business Address
PRANITHA KOVURI
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-5729
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Mailing Address
PRANITHA KOVURI
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-5729
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