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1497965677
BHANU P WUNNAVA
MONROE, LA
NPI
1497965677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 201695)
Enumeration Date
2007-05-23
Last Update Date
2008-04-30
Business Address
-- BHANU P WUNNAVA MBBS
4864 JACKSON ST DEPARTMENT OF FAMILY MEDICINE
MONROE, LA 71202-6400
Phone number: 318-330-7626
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Mailing Address
-- BHANU P WUNNAVA MBBS
4864 JACKSON ST DEPARTMENT OF FAMILY MEDICINE
MONROE, LA 71202-6400
Phone number: 318-330-7661
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