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1821519109
SREENATH JAGANNATHAN
READING, PA
NPI
1821519109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT018018)
Enumeration Date
2017-06-27
Last Update Date
2022-07-21
Business Address
SREENATH JAGANNATHAN DO
145 N 6TH ST FL 1
READING, PA 19601-3096
Phone number: 610-208-4558
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Mailing Address
SREENATH JAGANNATHAN DO
11 TREADWAY CT
NOTTINGHAM, MD 21236-5442
Phone number: 410-409-7438
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