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1336543107
LATHA ANEKONDADHA REVAKALA
NEW HAVEN, CT
NPI
1336543107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 23.003173)
Enumeration Date
2014-10-22
Last Update Date
2014-10-28
Business Address
-- LATHA ANEKONDADHA REVAKALA P.A.
20 YORK ST HOSPITALIST
NEW HAVEN, CT 06510-3220
Phone number: 203-671-3590
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Mailing Address
-- LATHA ANEKONDADHA REVAKALA P.A.
20 YORK ST HOSPITALIST
NEW HAVEN, CT 06510-3220
Phone number:
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