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1205499308
BEVERLY KHODRA
KENNEWICK, WA
NPI
1205499308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61224464)
Enumeration Date
2019-04-16
Last Update Date
2023-02-17
Business Address
BEVERLY KHODRA
6351 W RIO GRANDE AVE
KENNEWICK, WA 99336-7634
Phone number: 509-543-9280
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Mailing Address
BEVERLY KHODRA
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-865-2395
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