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1871292193
GANGA BHAVANI PANDARABOYINA
EDMOND, OK
NPI
1871292193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 211917)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
GANGA BHAVANI PANDARABOYINA
18244 CAMBORNE AVE
EDMOND, OK 73012-3215
Phone number: 859-687-5047
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Mailing Address
GANGA BHAVANI PANDARABOYINA
18244 CAMBORNE AVE
EDMOND, OK 73012-3215
Phone number:
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