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1306906029
CHANNAGIRI PHANINDRA
PARMA, OH
NPI
1306906029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: OH 3504-4844)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- CHANNAGIRI PHANINDRA m.d
12301,SNOW RD KAISER PERMANENTE
PARMA, OH 44130-1002
Phone number: 216-362-2741
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Mailing Address
-- CHANNAGIRI PHANINDRA m.d
5391 POTOMAC DR
BRECKSVILLE, OH 44141-2827
Phone number: 440-838-5032
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