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1548709991
PALLAVI ANNAMANENI
FAYETTEVILLE, NC
NPI
1548709991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-07004)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- PALLAVI ANNAMANENI P.A
2149 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304-3666
Phone number: 910-321-9500
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Mailing Address
-- PALLAVI ANNAMANENI P.A
3100 MUIRFIELD AVE
FAYETTEVILLE, NC 28306-3018
Phone number: 910-578-2541
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