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1326601501
SAILAJA RAVILLA
TAMPA, FL
NPI
1326601501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11015456)
Enumeration Date
2019-04-15
Last Update Date
2021-12-06
Business Address
SAILAJA RAVILLA CRNP
611 S HOWARD AVE
TAMPA, FL 33606-2412
Phone number: 813-259-9911
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Mailing Address
SAILAJA RAVILLA CRNP
611 S HOWARD AVE
TAMPA, FL 33606-2412
Phone number: 267-240-6217
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