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1639130008
SUBBARAO VENKATA PEMMARAJU
FAYETTEVILLE, NC
NPI
1639130008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: IL 036-107505)
Enumeration Date
2006-03-28
Last Update Date
2007-07-08
Business Address
Dr. SUBBARAO VENKATA PEMMARAJU M.D.
2300 RAMSEY ST VAMC, DIVISION OF LTC/GERIATRICS, 11G
FAYETTEVILLE, NC 28301-3856
Phone number: 910-488-2120
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Mailing Address
Dr. SUBBARAO VENKATA PEMMARAJU M.D.
2938 LAMBRUSCO PL
FAYETTEVILLE, NC 28306-9282
Phone number: 910-868-3717
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