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1396010526
VIVEKANAND DASARI
ODESSA, TX
NPI
1396010526
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Other Name
VIVEKANAND DASARI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX P2223)
Enumeration Date
2012-03-21
Last Update Date
2012-11-13
Business Address
-- VIVEKANAND DASARI md
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-355-5270
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Mailing Address
-- VIVEKANAND DASARI md
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-355-5270
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