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1679260509
RAVALLIKA PRASUNA KONDA
SOUTHAVEN, MS
NPI
1679260509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
RAVALLIKA PRASUNA KONDA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-3607
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Mailing Address
RAVALLIKA PRASUNA KONDA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4742
Phone number: 662-772-3607
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