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1730492703
KISHORE PERUMANDLA
LAKE HAVASU CITY, AZ
NPI
1730492703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S016413)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
-- KISHORE PERUMANDLA
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403-6565
Phone number: 928-453-2808
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Mailing Address
-- KISHORE PERUMANDLA
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403-6565
Phone number: 928-453-2808
Copy
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