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1336536747
RAVI BOPPANA
JACKSONVILLE, FL
NPI
1336536747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS39550)
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
-- RAVI BOPPANA
5452 BLANDING BLVD
JACKSONVILLE, FL 32244-1957
Phone number: 904-779-6990
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Mailing Address
-- RAVI BOPPANA
5452 BLANDING BLVD
JACKSONVILLE, FL 32244-1957
Phone number: 904-779-6990
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