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1366479982
KAVITA VANGURU BOLLAVARAM
LAWRENCEVILLE, GA
NPI
1366479982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 047575)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- KAVITA VANGURU BOLLAVARAM M.D
VA CLINIC 1970 RIVERSIDE PARKWAY
LAWRENCEVILLE, GA 30043
Phone number: 404-417-1713
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Mailing Address
-- KAVITA VANGURU BOLLAVARAM M.D
2224 GLENMORE LN
SNELLVILLE, GA 30078-5650
Phone number: 770-985-1870
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