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1780700955
PAVANI MANDAVA
WILMINGTON, DE
NPI
1780700955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0002089)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- PAVANI MANDAVA PT
810 S BROOM ST
WILMINGTON, DE 19805-4245
Phone number: 302-652-1181
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Mailing Address
-- PAVANI MANDAVA PT
135 HAUT BRION AVE
NEWARK, DE 19702-4535
Phone number: 302-356-1755
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