JAYA DURVASULA

ANDOVER, MN
NPI1386209906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  71239)
Enumeration Date2019-05-08
Last Update Date2022-10-20
Business Address
JAYA DURVASULA
15245 BLUEBIRD ST NW
ANDOVER, MN 55304-3538
Phone number: 763-587-4600
Mailing Address
JAYA DURVASULA
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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