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1558515445
PUSHPA NAGARAM VADIVEL
SAN DIEGO, CA
NPI
1558515445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A105920)
Enumeration Date
2008-11-05
Last Update Date
2022-02-10
Business Address
PUSHPA NAGARAM VADIVEL
4725 MARKET ST
SAN DIEGO, CA 92102-4715
Phone number: 619-515-2560
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Mailing Address
PUSHPA NAGARAM VADIVEL
27212 CALAROGA AVE
HAYWARD, CA 94545-4339
Phone number: 510-293-5655
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