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1578049615
SUPRIYA RAVURU
FAIRFAX, VA
NPI
1578049615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208320)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
SUPRIYA RAVURU
12475 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033-2803
Phone number: 703-352-7172
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Mailing Address
SUPRIYA RAVURU
22683 BEACON CREST TER
BRAMBLETON, VA 20148-6427
Phone number: 516-279-9939
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