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1336721687
RAJA SIREESHA GHANTASALA
TUCSON, AZ
NPI
1336721687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ R78599)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
Dr. RAJA SIREESHA GHANTASALA MBBS
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-694-5437
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Mailing Address
Dr. RAJA SIREESHA GHANTASALA MBBS
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-694-5437
Copy
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