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1558672253
VIJAYA MADHAVI KODURI
LARAMIE, WY
NPI
1558672253
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Former Name
VIJAYA MADHAVI PINNAMANENI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WY 9303A)
Enumeration Date
2010-06-28
Last Update Date
2023-08-31
Business Address
Dr. VIJAYA MADHAVI KODURI MBBS
1252 N 22ND ST
LARAMIE, WY 82072-5306
Phone number: 307-745-3704
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Mailing Address
Dr. VIJAYA MADHAVI KODURI MBBS
PO BOX 3046
GILLETTE, WY 82717-3046
Phone number: 307-688-2600
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