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1780376038
IJYA KHATIWADA
ROANOKE, VA
NPI
1780376038
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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
2023-05-24
Last Update Date
2023-05-24
Business Address
IJYA KHATIWADA DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
IJYA KHATIWADA DO
2047 HEYS LN
VINTON, VA 24179-1170
Phone number:
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