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1326736703
SHANTHI POTLA
ALEXANDRIA, LA
NPI
1326736703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
SHANTHI POTLA
807 JACKSON ST
ALEXANDRIA, LA 71301-7656
Phone number: 318-441-1034
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Mailing Address
SHANTHI POTLA
807 JACKSON ST
ALEXANDRIA, LA 71301-7656
Phone number:
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