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1215594601
SRIRAVALI POTLURI
TEMPLE, TX
NPI
1215594601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX T7696)
Enumeration Date
2019-05-22
Last Update Date
2022-10-20
Business Address
SRIRAVALI POTLURI
1605 S 31ST ST
TEMPLE, TX 76508-5299
Phone number: 254-215-0100
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Mailing Address
SRIRAVALI POTLURI
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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