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1356010359
HAVISHA PEDAMALLU
CHICAGO, IL
NPI
1356010359
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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
2021-09-13
Last Update Date
2021-09-13
Business Address
HAVISHA PEDAMALLU
240 E HURON ST
CHICAGO, IL 60611-2909
Phone number: 630-795-9150
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Mailing Address
HAVISHA PEDAMALLU
240 E HURON ST
CHICAGO, IL 60611-2909
Phone number:
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