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1841690385
BASAVARAJU BORRA
RENTON, WA
NPI
1841690385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00019930)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
BASAVARAJU BORRA
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number: 425-277-1311
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Mailing Address
BASAVARAJU BORRA
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number:
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