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1538528997
SRINIVAS PRAVEEN K PENNERU
ENCINO, CA
NPI
1538528997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 19318)
Enumeration Date
2016-02-15
Last Update Date
2016-03-30
Business Address
-- SRINIVAS PRAVEEN K PENNERU
16260 VENTURA BLVD
ENCINO, CA 91436-2203
Phone number: 818-986-1977
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Mailing Address
-- SRINIVAS PRAVEEN K PENNERU
16260 VENTURA BLVD
ENCINO, CA 91436-2203
Phone number: 818-986-1977
Copy
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