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1457129611
SRIDEVI VENUGOPAL
MARIETTA, GA
NPI
1457129611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN235224)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
SRIDEVI VENUGOPAL
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-5000
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Mailing Address
SRIDEVI VENUGOPAL
3392 CLUBLAND DR
MARIETTA, GA 30068-2507
Phone number: 404-801-5353
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