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1881125300
AMIT KODURI
ATHENS, GA
NPI
1881125300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-26
Last Update Date
2017-03-26
Business Address
-- AMIT KODURI
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-389-3860
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Mailing Address
-- AMIT KODURI
14510 LINDALE ROSE LN
HUMBLE, TX 77396-4280
Phone number:
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