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1629658133
PRANAV BOLLAVARAM
COLUMBUS, OH
NPI
1629658133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-09
Last Update Date
2022-08-08
Business Address
PRANAV BOLLAVARAM
395 W 12TH AVE
COLUMBUS, OH 43210-1267
Phone number: 614-685-4411
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Mailing Address
PRANAV BOLLAVARAM
395 W 12TH AVE
COLUMBUS, OH 43210-1267
Phone number:
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