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1437904018
PRANAVYA MURUGA MANICKAVELU
DALLAS, TX
NPI
1437904018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
PRANAVYA MURUGA MANICKAVELU MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-6587
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Mailing Address
PRANAVYA MURUGA MANICKAVELU MD
2248 NEW COLLEGE LN
PLANO, TX 75025-5511
Phone number: 972-400-2965
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