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1205690351
GOVARDHANACHARY VADLA
RIVERSIDE, CA
NPI
1205690351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 16382)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
Mr. GOVARDHANACHARY VADLA
9025 COLORADO AVE
RIVERSIDE, CA 92503-2157
Phone number: 951-688-3636
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Mailing Address
Mr. GOVARDHANACHARY VADLA
818 ALLEGRE CIR
CORONA, CA 92879-8874
Phone number: 917-312-2090
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