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1528763000
POOJA RATNA REVANNA
LITTLE ROCK, AR
NPI
1528763000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
POOJA RATNA REVANNA MD
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7101
Phone number: 501-364-5115
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Mailing Address
POOJA RATNA REVANNA MD
5933 WINDHAM CT
MOBILE, AL 36608-3446
Phone number:
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