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1649508318
DEEPA KANNADITHARAYIL
MODESTO, CA
NPI
1649508318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA A143758)
Enumeration Date
2009-11-18
Last Update Date
2019-09-09
Business Address
Mrs. DEEPA KANNADITHARAYIL MBBS
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-550-4785
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Mailing Address
Mrs. DEEPA KANNADITHARAYIL MBBS
10470 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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