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1285383489
SHRUTHI MANYA DERICKS
INDIANAPOLIS, IN
NPI
1285383489
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Former Name
SHRUTHI GARUGU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2023-06-12
Business Address
Dr. SHRUTHI MANYA DERICKS DO
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5209
Phone number: 317-274-0076
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Mailing Address
Dr. SHRUTHI MANYA DERICKS DO
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5209
Phone number:
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