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1306534698
GIRIDHAR DASEGOWDA
LITTLE ROCK, AR
NPI
1306534698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
GIRIDHAR DASEGOWDA MBBS
4301 W MARKHAM ST # 556
LITTLE ROCK, AR 72205-7101
Phone number: 501-603-1595
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Mailing Address
GIRIDHAR DASEGOWDA MBBS
4301 W MARKHAM ST # 556 ATTN: ALEX VANDIVER
LITTLE ROCK, AR 72205-7101
Phone number: 501-603-1595
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