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1225638026
PRASANTI PINNAMARAJU
ROANOKE, VA
NPI
1225638026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024180126)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
PRASANTI PINNAMARAJU
5324 FOX RIDGE RD
ROANOKE, VA 24018-8754
Phone number: 612-245-8710
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Mailing Address
PRASANTI PINNAMARAJU
PO BOX 20844
ROANOKE, VA 24018-0085
Phone number: 612-245-8710
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